Shiloh Nursing and Rehab, LLC
1092 West Stultz Road, Springdale, AR 72764 · Washington County · (479) 750-3800
140 certified beds, about 129 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2008
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 045427 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 27, 2025, inspectors cited 3 health deficiencies (the Arkansas average is 2.7, the national average 9.2).
None of its 14 health citations since September 2022 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 3.76 hours per resident per day, against 4.02 across Arkansas and 3.86 nationally. Registered nurses accounted for 0.22 of those hours.
43.1% of nursing staff left within the year CMS measured (Arkansas average 49.5%).
CMS links it to Central Arkansas Nursing Centers, 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.
409/22
701/24
302/25
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 14 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
8E
2F
Potential for minimal harm
0A
0B
0C
February 27, 2025Standard inspection · 3 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and facility policy review, the facility failed to ensure food was thawed properly and in sanitary conditions, specifically thawing fish in a dirty sink at room temperature with no water. This failed practice had the potential to affect 4 of 4 residents who received the alternate meal choice from the kitchen.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, record review, facility document review, and facility policy review, it was determined the facility failed to maintain infection control prevention for 4 (Residents #24, #59, #62, and #67) of 5 residents reviewed for infection control.
- D 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, record review, facility document review, and facility policy review, it was determined the facility failed to properly label and discard a medication per the manufacture's guidelines for 1 medication cart of 3 carts reviewed for medication labeling and storage.
January 5, 2024Standard inspection · 7 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, and interview, the facility failed to ensure dietary staff washed their hands before serving food in the kitchen to prevent potential for cross contamination. This failed practice had the potential to affect 72 residents who received a tray from the kitchen.
- E Respond appropriately to all alleged violations.
Inspectors wroteBased on observation, interview and record review, the facility failed to investigate in a timely manner a possible injury to 1 (Resident #42) of 1 sampled resident, who reported a possible knee injury to the nurse due to an improper transfer performed by a staff member.
- E 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 Resident #42 had a physician's order for medication that was being administered by nurses. This had the ability to affect 16 residents who resided on 600 Hall and receive medications.
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure the residents was free of potential accident and hazards, as evidenced by failure to ensure that all the clips were in place on the mechanical lift when lifting 1 (Resident #63) of 1 sampled resident. This failed practice had the potential to affect 5 (Residents #24, #42, #63, #71 and #72) sampled residents who resided on the 600 Hall and were dependent on a mechanical lift for transfers.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure infection control practices were maintained during the administration of medications to decrease the risk of contamination for 1 (Resident #58) of 1 sampled resident with a Percutaneous Endoscopic Gastrostomy (PEG) tube; staff performed hand hygiene while delivering trays to residents during the lunch meal service on the 600 Hall, and failed to ensure staff performed hand hygiene in between feeding residents who required assistance with meals during the lunch meal service.
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure gastric contents were aspirated prior to administering medications through a Percutaneous Endoscopic Gastrostomy (PEG) tube to decrease the potential for complications and enteral feeding bags were labeled with the date, time, and initials for 1 (Resident #58) of 1 sampled resident with a PEG tube as documented on a list provided by the Administrator on 01/04/24 at 3:52 PM.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure cautionary signage was placed outside the room of a resident who had oxygen (O2) in use for 1 (Resident #2) of 3 (Residents #2, #4 and #127) sampled residents who had physician orders for oxygen as documented on a list provided by the Administrator on 01/04/24 at 3:52 PM.
September 9, 2022Standard inspection · 4 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 dietary staff washed their hands and changed gloves before handling food items to prevent the potential for cross contamination for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 69 residents who received meals from the Kitchen (Total Census: 69), according to the list provided by the Dietary Supervisor on 9/07/22 at 1:18 PM
- E 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.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure meals were prepared and served according to the planned written menu to meet the nutritional needs of the residents for 2 of 2 meals observed. This failed practice had the potential to affect 4 residents who received pureed diets from 1 of 1 kitchen according to a list provided by the Dietary Supervisor on 9/7/22.
- E Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observation and interview, the facility failed to ensure pureed food items were blended to a smooth, lump-free consistency to minimize the risk of choking or other complications for residents who required pureed diets for 3 of 3 meals observed. This failed practice had the potential to affect 4 residents who received pureed diets, as documented on the Diet List provided by the Food Service Supervisor on 9/07/22.
- 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 record review and interview the facility failed to ensure a comprehensive plan of care was developed for a resident who had a colostomy, to assure that the resident's individual needs were met and maintained for 1 (Resident #36) of 1 (Resident #36) who had a colostomy.
Fire safety inspections
1 fire safety citation on file: 1 on September 9, 2022.
Every fire safety citation1 citation
- K Have exits that are accessible at all times.
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) | 3.76 | 4.02 | 3.86 |
| Registered nurses | 0.22 | 0.41 | 0.69 |
| All nursing staff on weekends | 3.36 | 3.45 | 3.42 |
| Nurse aides | 2.76 | ||
| Licensed practical nurses | 0.78 | ||
| Nursing staff turnover (share who left in a year) | 43.1% | 49.5% | 45.8% |
| Registered nurse turnover | 50.0% | 44.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.56 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 3.92 on weekdays and 3.36 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.95 in April to June 2025 to 3.76 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 | 3.76 | 0.22 | 3.92 | 3.36 | 1.0% | 0 of 90 | 129 |
| Oct to Dec 2025 | 3.86 | 0.21 | 4.04 | 3.41 | 0.5% | 0 of 92 | 118 |
| Jul to Sep 2025 | 3.79 | 0.16 | 3.90 | 3.51 | 0.0% | 0 of 92 | 112 |
| Apr to Jun 2025 | 3.95 | 0.18 | 4.08 | 3.60 | 0.3% | 0 of 91 | 105 |
| 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.
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 | 8.3 | 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 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.1 | 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 | 20.8 | 10.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.2 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.5 | 10.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.6 | 24.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 3.5 | 12.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 2.1 | 1.8 |
Owners and operators
Legal business name: SHILOH NURSING AND REHAB, LLC. CMS links this home to Central Arkansas Nursing Centers, a group of 38 nursing homes averaging 3.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Hursh, Paralea | 5% or greater direct ownership interest | Individual | 10% | 12/29/2010 |
| Sams, Jerry | 5% or greater direct ownership interest | Individual | 10% | 12/29/2010 |
| Rodriguez, Lesly | Operational/managerial control | Individual | 12/10/2024 | |
| Shiloh Estates, LLC | Adp of the SNF | Organization | 12/12/2024 | |
| Naeem, Bilal | Adp of the SNF | Individual | 12/10/2024 | |
| Norsworthy, David | Adp of the SNF | Individual | 12/12/2024 | |
| Rodriguez, Lesly | Adp of the SNF | Individual | 10/20/2004 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on February 27, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on January 5, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on February 27, 2025: "Provide and implement an infection prevention and control program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on February 27, 2025: "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 3.36 hours per resident per day, below the Arkansas average of 3.45.
Other nursing homes nearby
- Windcrest Health and Rehab Inc Springdale, 1.4 mi · 2 of 5 stars · 16 citations
- Springdale Health and Rehabilitation Center Springdale, 2.6 mi · 2 of 5 stars · 20 citations
- Westwood Health and Rehab, Inc Springdale, 3 mi · 2 of 5 stars · 19 citations
- The Maples at Har-Ber Meadows Springdale, 4.3 mi · 5 of 5 stars · 11 citations
- Edgewood Health and Rehab Springdale, 5.1 mi · 5 of 5 stars · 10 citations
- Jamestown Nursing and Rehab, LLC Rogers, 6.2 mi · 1 of 5 stars · 29 citations
- Hampton Place Healthcare, LLC Rogers, 6.2 mi · 4 of 5 stars · 5 citations
- Rogers Health and Rehabilitation Center Rogers, 6.3 mi · 3 of 5 stars · 24 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 Shiloh Nursing and Rehab, LLC's Medicare star rating?
- CMS rates Shiloh Nursing and Rehab, LLC 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Shiloh Nursing and Rehab, LLC get at its last inspection?
- 3 health deficiencies at the standard inspection on February 27, 2025. The Arkansas average is 2.7.
- Has Shiloh Nursing and Rehab, LLC been fined?
- CMS lists no fines in the last three years.
- Does Shiloh Nursing and Rehab, LLC 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 Shiloh Nursing and Rehab, LLC?
- CMS lists 7 owners and managers, and links the home to Central Arkansas Nursing Centers. Legal business name: SHILOH NURSING AND REHAB, LLC.
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.