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North Hills Life Care and Rehab

27 E Appleby Road, Fayetteville, AR 72703 · Washington County · (479) 444-9000

92 certified beds, about 78 residents a day · For profit - Corporation · Medicare and Medicaid since 2004

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 045398 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 9, 2026, inspectors cited 0 health deficiencies (the Arkansas average is 2.7, the national average 9.2).

None of its 11 health citations since June 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.11 hours per resident per day, against 4.02 across Arkansas and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.

48.8% of nursing staff left within the year CMS measured (Arkansas average 49.5%).

CMS links it to Anthony & Bryan Adams, an affiliated group of 38 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 11 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
4D
5E
2F
Potential for minimal harm
0A
0B
0C
April 9, 2026Standard inspection · 0 citations
August 22, 2024Standard inspection · 4 citations
  1. F
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 21, 2024
    Inspectors wroteBased on observations, interviews, facility document review, and facility policy review, the facility failed to write the open date on medications for 4 (Resident #5, #32, #33, and #35) and maintained pharmacy packaging of a medication card for 1(Resident #5) of 2 medication carts observed for medication labeling and storage standards. The facility also failed to maintain possession of medication cart/room keys with authorized personnel for all residents in the facility.
  2. E
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 21, 2024
    Inspectors wroteBased on observations, interviews, facility record review, it was determined that the facility failed to provide privacy during care for 1 (Resident #62) of 1 resident reviewed for privacy.
  3. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 21, 2024
    Inspectors wroteBased on observation, record review, and interview, it was determined the facility failed to ensure physician orders were followed for 1 (Resident #62) of 1 resident observed receiving medications from 1 (Licensed Practical Nurse (LPN) #9) of 3 nurses observed during medication pass.
  4. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 21, 2024
    Inspectors wroteBased on observations, interviews, record review, and facility policy review, the facility failed to ensure staff performed hand hygiene during meal assistance; failed to utilize Enhanced Barrier Precautions (EBP), to maintain sterile and aseptic technique during a dressing removal and failed to maintain aseptic technique for IV tubing, specifically no cap was in place on the tubing to maintain a barrier from contamination for 1 (Resident #62) of 1 resident reviewed for dressing change.
May 7, 2024Complaint inspection · 2 citations
  1. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 6, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to notify the Resident's representative of changes to medication for one (Resident #1) of three (Resident #1, #2, and #3) sampled residents.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 6, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure a complete surgical history was obtained and surgical diagnosis history forwarded from the pre-admission screen for one Resident #1 of three (Resident #1, #2 & #3) sampled resident. This failed practice had the potential to have an adverse effect on the resident due to medical staff not having all the information to make an informed decision concerning care.
June 2, 2023Standard inspection · 5 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 1, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure food was served in a sanitary manner to prevent cross contamination for 2 (Residents #26 and #65) of 5 (Residents #22 #26, #52, #63 and #65) sampled residents who are served meals in the 400 Hall Dining Room. This failed practice had the potential to affect 19 residents (total census: 75) who are served meals in the 400 Hall Dining Room as documented on a list provided by the Administrator on 06/01/23 at 8:58 AM.
  2. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 1, 2023
    Inspectors wroteBased on interview, and record review, the facility failed to ensure Minimum Data Set (MDS) assessments were accurately coded for oxygen therapy for 1 (Resident #11) of 7 (Residents #5, #8, #9, #11, #22, #29 and #227) sampled residents with Physician Orders for oxygen therapy per a list provided by the Administrator on 06/01/23 at 8:58 AM, and failed to ensure MDS assessments were accurately coded for Preadmission Screening and Resident Review (PASARR) II for 3 (Residents #1, #2 and #5) of 4 (Residents #1, #2, #5 and #24) sampled residents with serious mental health diagnoses per a list provided by the Administrator on 06/01/23 at 8:58 AM.
  3. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 1, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure oxygen was administered at the Physician Ordered rate for 2 (Residents #11 and #227) and oxygen tubing was changed weekly for 1 (Resident #29) of 7 (Residents #5, #8, #9, #11, #22, #29 and #227) sampled residents who received oxygen therapy and failed to ensure Continuous Positive Airway Pressure (CPAP) tubing was stored to prevent contamination for 1 (Resident #227) of 2 (Residents #8 and #227) sampled residents with Physician Orders for CPAP therapy as documented on lists provided by the Administrator on 06/01/23 at 8:58 AM.
  4. D
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    F568 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 1, 2023
    Inspectors wroteBased on interview, and record review, the facility failed to ensure generally accepted accounting principles were followed to ensure insurance premiums were paid timely for 1 (Resident #42) of 3 (Residents #2, #22 and #42) sampled residents whose personal funds were reviewed. The failed practice had the potential to affect 32 residents with resident trusts managed by the facility per a list provided by the Business Office Manager (BOM) on 06/01/23 at 10:08 AM.
  5. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 1, 2023
    Inspectors wroteBased on observation, record review and interview, the facility failed to develop and implement the plan of care for oxygen use for 2 (Residents #11 and #227) of 7 (Residents #5, #8, #9, #11, #22, #29 and #227) sampled residents who had Physician Orders for oxygen therapy as documented on a list provided by the Administrator on 06/01/23 at 8:58 AM.

Fire safety inspections

9 fire safety citations on file: 1 on April 9, 2026, 3 on August 22, 2024, 5 on June 2, 2023.

Every fire safety citation9 citations
  1. F
    Install an approved automatic sprinkler system.
    K 351 · April 9, 2026 · Corrected (the home has a date of correction)
  2. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · August 22, 2024 · Corrected (the home has a date of correction)
  3. F
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · August 22, 2024 · Corrected (the home has a date of correction)
  4. F
    Ensure proper usage of power strips and extension cords.
    K 920 · August 22, 2024 · Corrected (the home has a date of correction)
  5. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · June 2, 2023 · Corrected (the home has a date of correction)
  6. F
    Have simulated fire drills held at unexpected times.
    K 712 · June 2, 2023 · Corrected (the home has a date of correction)
  7. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 2, 2023 · Corrected (the home has a date of correction)
  8. E
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · June 2, 2023 · Corrected (the home has a date of correction)
  9. E
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · June 2, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeArkansasUnited States
All nursing staff (RN, LPN and aides)4.114.023.86
Registered nurses0.390.410.69
All nursing staff on weekends3.123.453.42
Nurse aides2.61
Licensed practical nurses1.12
Nursing staff turnover (share who left in a year)48.8%49.5%45.8%
Registered nurse turnover50.0%44.8%42.9%
Administrators who left0

CMS expects 3.35 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.52 on weekdays and 3.12 on weekends, 31% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.84 in April to June 2025 to 4.11 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.110.394.523.12 0.4%0 of 9078
Oct to Dec 20254.050.384.343.30 0.4%0 of 9280
Jul to Sep 20253.980.384.323.11 0.4%0 of 9283
Apr to Jun 20253.840.324.212.91 0.0%0 of 9184
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Arkansas, Jan to Mar 20264.050.404.283.472.0%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Arkansas

JobMedianMiddle halfEmployed
Arkansas, all employers
CNAs (nursing assistants)$16.55$14.52 to $17.3417,260
LPNs and LVNs$27.22$23.82 to $29.4310,010
Registered nurses$37.95$32.04 to $43.4029,400
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeArkansasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
9.99.513.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.60.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.31.21.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.53.93.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
7.510.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.54.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
2.810.915.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
9.924.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
19.412.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.02.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.12.11.8

Owners and operators

Legal business name: NORTHWEST HEALTH AND REHAB, INC.. CMS links this home to Anthony & Bryan Adams, a group of 38 nursing homes averaging 3.7 stars overall.

NameRoleTypeShareSince
Angel, TammyManaging control - governing bodyIndividual01/01/2017
Talley, CraigManaging control - governing bodyIndividual07/21/2023
Thomas, DarrylManaging control - governing bodyIndividual01/01/2017
Adams, AnthonyCorporate officerIndividual06/02/2004
Adams, BryanCorporate officerIndividual06/02/2004
Koehler, TobeyCorporate officerIndividual12/20/2007
Miller, MarkOperational/managerial controlIndividual08/28/2004
Talley, CraigOperational/managerial controlIndividual07/21/2023
3b Holdings, LLCAdp of the SNFOrganization05/21/2009
Centennial BankAdp of the SNFOrganization07/01/2009
Fayv Re, LLCAdp of the SNFOrganization07/01/2009
Home BancsharesAdp of the SNFOrganization07/01/2009
Incite Rehab, LLCAdp of the SNFOrganization08/10/2005
LTC Systems/Rx, LLCAdp of the SNFOrganization07/01/2004
Pharmacy Consults, LLCAdp of the SNFOrganization09/10/2007
Reliance Health Care, Inc.Adp of the SNFOrganization12/20/2007
Adams, AnthonyAdp of the SNFIndividual07/01/2009
Adams, BryanAdp of the SNFIndividual07/01/2009
Angel, TammyAdp of the SNFIndividual01/01/2017
Ellis, JohnAdp of the SNFIndividual12/20/2007
Koehler, TobeyAdp of the SNFIndividual12/20/2007
Mainord, WilliamAdp of the SNFIndividual08/10/2005
McGinnis, LarryAdp of the SNFIndividual09/10/2007
Miller, MarkAdp of the SNFIndividual08/28/2024
Pedigo, RitaAdp of the SNFIndividual08/10/2005
Talley, CraigAdp of the SNFIndividual07/21/2023
Thomas, DarrylAdp of the SNFIndividual01/01/2017

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on August 22, 2024: "Keep residents' personal and medical records private and confidential."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on August 22, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on June 2, 2023: "Ensure each resident receives an accurate assessment."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on August 22, 2024: "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."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.12 hours per resident per day, below the Arkansas average of 3.45.

Other nursing homes nearby

Arkansas contacts for a concern about a nursing home

These are the official offices in Arkansas. NursingHomeClear cannot take or act on complaints.

Common questions

What is North Hills Life Care and Rehab's Medicare star rating?
CMS rates North Hills Life Care and Rehab 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did North Hills Life Care and Rehab get at its last inspection?
0 health deficiencies at the standard inspection on April 9, 2026. The Arkansas average is 2.7.
Has North Hills Life Care and Rehab been fined?
CMS lists no fines in the last three years.
Does North Hills Life Care and Rehab accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns North Hills Life Care and Rehab?
CMS lists 27 owners and managers, and links the home to Anthony & Bryan Adams. Legal business name: NORTHWEST HEALTH AND REHAB, INC..

Sources

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