Hiram Shaddox Health And Rehab

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

51.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 201 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 64.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 79 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.26 therapist hours per resident per day in 2026Q1 — more than 37% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 140 beds and averages 80.9 residents a day — about 58% occupied, or roughly 59 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.08 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.30 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.87 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.42 hrs/resident/day on weekends vs 3.35 on weekdays — 28% thinner on weekends — a notable drop. RN hours go from 0.33 to 0.21 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 58% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.

• Potential for harm · E2025-05-15 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review and facility policy review, the facility failed to ensure medications were administered without errors resulting in an error rate of more than 5% for 2 (Resident #126 and Resident #227) of 7 residents who were observed during the 8:00 AM medication administration. The findings are: 1. An undated Administering Medications policy was reviewed and read in part, Medications are administered as prescribed and are administered according to prescriber orders. 2. A Medication Crushing Guidelines policy dated 2001, was reviewed and read in part Medications that should not be Crushed or Chewed B. Enteric coated medications are designed to pass through the stomach without breaking down until they reach the intestinal tract. This route may be chosen due to changes made when in contact with stomach acid, to prevent the irritation of the stomach lining and to prolong the action of the medication. Timed release tablets are designed to release their medication over a period, usually 8-24 hours. The tablets should not be crushed. 3. The Long-Term Care…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-15 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and facility policy review, it was determined that the facility failed to prepare and serve food in a safe and sanitary manner as evidenced by staff eating in the kitchen's preparation area and not performing hand hygiene after touching personal items and before serving residents. The failed practice had the potential of affecting 71 of 73 residents. On 5/12/2025 at 5:52 PM, upon entrance to the facility's kitchen, [NAME] #1 was observed eating food out of a small dish while standing on the serving line. [NAME] #1 picked up a cellphone from the top shelf of the steam table that was playing music, turned the music off, and sat the phone back down. [NAME] #1 then picked up a spoon handle and stirred the food on the steam table. On 5/13/2025 at 8:20 AM, during an interview with the Dietary Manager (DM), who had been with facility for 5 years, the DM confirmed that staff had been in-serviced on safe food handling and handwashing and hand hygiene. The DM confirmed that it was not appropriate to eat while standing at the serving line. The DM also confirmed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-02-23 · tag F0582 — pattern
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure an Advance Beneficiary Notice [ABN] was provided to inform the residents and/or their responsible parties of financial liability for continued care and services after their Medicare coverage was discontinued for 5 Residents (#6, #19, #32, #42, and #276) sampled residents who were discharged from Medicare Skilled services in the last 6 months and remained in the facility and/or discharged home. This failed practice had the potential to affect 41 residents who received a Beneficiary Notice and were discharged or remained in the facility the last 6 months after they were released from Medicare Services. The findings are: 1. Resident #6 was provided with a Notice of Medicare Provider Non-Coverage. The last covered date of Part A Service was 8-11-23. Resident signed, but no date provided. 2. Resident #19 was provided with a Notice of Medicare Provider Non-Coverage. The last covered date of Part A Service was 11-8-23. Resident signed on 11-7-23. 3. Resident #32 was provided with a Notice of Medicare Provider Non-…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-02-23 · tag F0865 — failed to run a quality-improvement (QAPI) program — pattern
  Have a plan that describes the process for conducting QAPI and QAA activities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure the Quality Assurance and Performance Improvement program [QAPI] Committee developed and implemented appropriate plans of action to prevent repeated deficiencies for F554, which referenced Self Administer of Medications. These failed practices had the potential to affect 75 residents The findings are: A Recertification survey was conducted on 02/20/24 at the facility. During this survey, F554, Self-Administer of Medications, was cited for the facility failed to ensure that before a resident was allowed to self-administer a bronchodilator medication (a type of medication that make breathing easier) via nebulizer, the Interdisciplinary Team [IDT] conducted an assessment to determine if this practice was safe, to ensure a Physician's Order [PO] was obtained and a care plan [CP] was developed to address self-administration of medication via nebulizer, to prevent potential errors in administration for 1 (Resident #2) sampled residents who had PO for bronchodilator nebulizer treatments. This failed practice had the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-02-23 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record revie, and interview, the facility failed to ensure that before a resident was allowed to self-administer Bronchodilator medication via nebulizer, the Interdisciplinary Team [IDT] conducted an assessment to determine if this practice was safe, to ensure a physician order [PO] was obtained and a care plan was developed to address self-administration of medication via nebulizer, to prevent potential errors in administration for 1 Resident #2 sampled residents. who had PO for Bronchodilator nebulizer treatments [tx]. The findings are: 1. Resident #2 had diagnosis [dx] of Acute Respiratory Failure with Hypoxia and Shortness of Breath [SOB]. A Significant Change Minimum Data Set [MDS] with an Assessment Reference Date [ARD] dated 01/30/24 documented . Section C - Cognitive Patterns .C0500. [Brief Interview for Mental Status [BIMS] Summary Score: 10 . a. On 02/20/24 at 11:59 AM, Resident #2 was seated in a wheelchair [w/c] in her room, holding a nebulizer tubing with smoke coming from it. There was not a nurse in the room with resident. b. A Physician's Order…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-02-23 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to ensure staff covered the catheter bag with the privacy shield for 1(Resident #13) of 5 (Residents #13, #40, #66, #68, and #273) privacy shield was not pulled down over the catheter bag, assuring residents privacy. This lack of privacy care had the potential to affect the resident's dignity. The findings are: On 2/21/2024 at 9:23 AM, Resident #13 privacy bag is raised up on catheter bag and can be seen facing the entrance of the door. On 2/22/2024 at 9:46 AM, Resident #13 catheter bag is hanging from the right side of the bed. The privacy bag is still raised up on the catheter, urine can be seen from Resident's door upon entrance. On 2/23/2024 at 9:21 AM, Resident #13 catheter is hanging from the right side of bed. The privacy bag shield is still raised, and urine can be seen. On 2/23/2024 at 9:25 AM, the Surveyor asked Licensed Clinical Nurse (LPN)#1 if she saw an issue with Resident's catheter. LPN#1 said, are you talking about the privacy part? The Surveyor responded, yes, it has been this way for the last 3…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2022-12-01 · tag F0554 — pattern
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to ensure before a resident was allowed to self-administer medications, the interdisciplinary team (IDT) conducted an assessment to determine if this practice was safe, to prevent potential complications for 1 (Resident #5) of 1 sampled resident who had a Topical Analgesic at the bedside and for 1 (Resident #18) of 1 sampled resident who had an Albuterol Inhaler at the bedside. The findings are: 1. Resident #5 had a diagnosis of Rheumatoid Arthritis. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 9/24/22 documented the resident scored 13 (13-15 indicates cognitively intact) on a Brief Interview for Mental Status (BIMS) and was able to make self-understood, and ability to understand others; had adequate vision with corrective lenses and had no functional limitation in range of motion to the upper extremities and received scheduled pain medication. a. The Care Plan documented, .The resident has acute pain . Monitor/record/report to Nurse resident complaints of pain or requests for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2022-12-01 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record review, and facility policy review, it was determined that the facility failed to provide assistance with activities of daily living (ADLs) for 6 (Resident #172, Resident #26, Resident #19, Resident #21, Resident #34, and Resident #122) of 6 dependent residents reviewed for ADLs. Specifically, the facility failed to: - Provide showers for Resident #26, Resident #19, Resident #21, Resident #34, and Resident #122. - Shave Resident #21 when needed. - Transfer Resident #172 out of bed. Findings included: Review of a facility policy titled, Activities of Daily Living (ADLs), Supporting, dated 03/2018, specified, Residents who are unable to carry out activities of daily living independently will receive the services necessary to maintain good nutrition, grooming and personal and oral hygiene. The policy also indicated, Appropriate care and services will be provide for resident's who are unable to carryout ADLs independently, with the consent of the resident and in accordance…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2022-12-01 · tag F0761 — failed to label and store drugs safely — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to ensure a medication (heparin flush and a normal saline flush) were not left at the bedside to prevent a potential accident/hazard for 1 (Resident #221) of 1 sampled resident who received Intravenous (IV) therapy in the last 30 days. The findings are: 1. Resident #221 had diagnoses of Dementia and Urinary Tract Infections (UTI). The admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 11/13/22 documented the resident scored 6 (0-7 indicates severely cognitively impaired) on a Brief Interview for Mental Status (BIMS) and was occasionally incontinent of bowel and bladder, received an antibiotic 2 days of the 7 day lookback period and received IV medications while not a resident and while a resident. f. The Care Plan with an initiated date of 11/13/22 documented, .The resident is on antibiotic therapy Vancomycin r/t [related to] infection UTI . Administer ANTIBIOTIC medications as ordered by physician . If IV is infiltrated: stop infusion and thoroughly examine the site . c. The November…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2022-12-01 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure a pneumococcal vaccine was administered after consent was obtained to minimize the potential for contracting pneumonia for 4 (Residents #11, #20, #39 and #61) of 5 (Residents #1, #11, #20, #39 and #61) sampled residents whose immunization records were reviewed. This failed practice had the potential to affect 39 residents who had not received a pneumococcal vaccine as determined by the total census of 65, minus the 26 residents who had received a pneumococcal vaccine, according to the Resident Census and Conditions of Residents form dated 11/28/22. The findings are: 1. Resident #61 was admitted to the facility on [DATE] and had diagnoses of Diabetes Mellitus, Fractured Left Humerus, History of a Transient Ischemic Attack and Cerebral Infarction. The admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 10/27/22 documented the resident scored 11 (8 - 12 indicates moderately cognitively impaired) on a Brief Interview for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to ANTHONY & BRYAN ADAMS — 38 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 26 rows in the source record cover these 19 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

5 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.3M paid to related parties — landlords or management companies under common ownership — equal to about 16% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in AR