Home / Arkansas / Fayetteville
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 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.
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.
April 9, 2026Standard inspection · 0 citations
August 22, 2024Standard inspection · 4 citations
- 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.
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.
- E Keep residents' personal and medical records private and confidential.
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.
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
- E Provide and implement an infection prevention and control program.
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
- D Ensure that residents are fully informed and understand their health status, care and treatments.
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.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
- E Ensure each resident receives an accurate assessment.
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.
- E Provide safe and appropriate respiratory care for a resident when needed.
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.
- D Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
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.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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
- F Install an approved automatic sprinkler system.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Properly provide smoke detection systems in areas open to corridors.
- F Ensure proper usage of power strips and extension cords.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Properly provide smoke detection systems in areas open to corridors.
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.
| Measure | This home | Arkansas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.11 | 4.02 | 3.86 |
| Registered nurses | 0.39 | 0.41 | 0.69 |
| All nursing staff on weekends | 3.12 | 3.45 | 3.42 |
| Nurse aides | 2.61 | ||
| Licensed practical nurses | 1.12 | ||
| Nursing staff turnover (share who left in a year) | 48.8% | 49.5% | 45.8% |
| Registered nurse turnover | 50.0% | 44.8% | 42.9% |
| Administrators who left | 0 |
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.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.11 | 0.39 | 4.52 | 3.12 | 0.4% | 0 of 90 | 78 |
| Oct to Dec 2025 | 4.05 | 0.38 | 4.34 | 3.30 | 0.4% | 0 of 92 | 80 |
| Jul to Sep 2025 | 3.98 | 0.38 | 4.32 | 3.11 | 0.4% | 0 of 92 | 83 |
| Apr to Jun 2025 | 3.84 | 0.32 | 4.21 | 2.91 | 0.0% | 0 of 91 | 84 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Arkansas, Jan to Mar 2026 | 4.05 | 0.40 | 4.28 | 3.47 | 2.0% | 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
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Arkansas, all employers | |||
| CNAs (nursing assistants) | $16.55 | $14.52 to $17.34 | 17,260 |
| LPNs and LVNs | $27.22 | $23.82 to $29.43 | 10,010 |
| Registered nurses | $37.95 | $32.04 to $43.40 | 29,400 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Arkansas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.9 | 9.5 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.5 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.5 | 10.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.5 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 2.8 | 10.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 9.9 | 24.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 19.4 | 12.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 2.1 | 1.8 |
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.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Angel, Tammy | Managing control - governing body | Individual | 01/01/2017 | |
| Talley, Craig | Managing control - governing body | Individual | 07/21/2023 | |
| Thomas, Darryl | Managing control - governing body | Individual | 01/01/2017 | |
| Adams, Anthony | Corporate officer | Individual | 06/02/2004 | |
| Adams, Bryan | Corporate officer | Individual | 06/02/2004 | |
| Koehler, Tobey | Corporate officer | Individual | 12/20/2007 | |
| Miller, Mark | Operational/managerial control | Individual | 08/28/2004 | |
| Talley, Craig | Operational/managerial control | Individual | 07/21/2023 | |
| 3b Holdings, LLC | Adp of the SNF | Organization | 05/21/2009 | |
| Centennial Bank | Adp of the SNF | Organization | 07/01/2009 | |
| Fayv Re, LLC | Adp of the SNF | Organization | 07/01/2009 | |
| Home Bancshares | Adp of the SNF | Organization | 07/01/2009 | |
| Incite Rehab, LLC | Adp of the SNF | Organization | 08/10/2005 | |
| LTC Systems/Rx, LLC | Adp of the SNF | Organization | 07/01/2004 | |
| Pharmacy Consults, LLC | Adp of the SNF | Organization | 09/10/2007 | |
| Reliance Health Care, Inc. | Adp of the SNF | Organization | 12/20/2007 | |
| Adams, Anthony | Adp of the SNF | Individual | 07/01/2009 | |
| Adams, Bryan | Adp of the SNF | Individual | 07/01/2009 | |
| Angel, Tammy | Adp of the SNF | Individual | 01/01/2017 | |
| Ellis, John | Adp of the SNF | Individual | 12/20/2007 | |
| Koehler, Tobey | Adp of the SNF | Individual | 12/20/2007 | |
| Mainord, William | Adp of the SNF | Individual | 08/10/2005 | |
| McGinnis, Larry | Adp of the SNF | Individual | 09/10/2007 | |
| Miller, Mark | Adp of the SNF | Individual | 08/28/2024 | |
| Pedigo, Rita | Adp of the SNF | Individual | 08/10/2005 | |
| Talley, Craig | Adp of the SNF | Individual | 07/21/2023 | |
| Thomas, Darryl | Adp of the SNF | Individual | 01/01/2017 |
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.
- 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."
- 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."
- 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."
- 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."
- 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
- Fayetteville Health and Rehabilitation Center Fayetteville, 1.2 mi · 3 of 5 stars · 29 citations
- Butterfield Trail Village Fayetteville, 1.5 mi · 3 of 5 stars · 14 citations
- Arkansas Veterans Home at Fayetteville Fayetteville, 1.8 mi · 2 of 5 stars · 39 citations
- Edgewood Health and Rehab Springdale, 3.9 mi · 5 of 5 stars · 10 citations
- Katherine's Place at Wedington Fayetteville, 4.5 mi · 4 of 5 stars · 22 citations
- Westwood Health and Rehab, Inc Springdale, 5 mi · 2 of 5 stars · 19 citations
- Springdale Health and Rehabilitation Center Springdale, 5.6 mi · 2 of 5 stars · 20 citations
- The Maples at Har-Ber Meadows Springdale, 5.7 mi · 5 of 5 stars · 11 citations
Arkansas contacts for a concern about a nursing home
These are the official offices in Arkansas. NursingHomeClear cannot take or act on complaints.
- Resident advocate: Arkansas Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
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
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.