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Concordia Nursing & Rehab, LLC

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Concordia Nursing & Rehab, LLC is a for profit - limited liability company facility in Bella Vista, AR with 102 certified beds and a 1-star overall CMS rating. The facility has 37 deficiency records on file. Total penalties: $122K.

7 Professional Drive, Bella Vista, AR 72714

Phone: 4798553735

Overall Rating

1/5

Health Inspection

1/5

Staffing

1/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
045143
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
102
Residents
30
In Hospital
No
County
Benton
Last Inspection
May 6, 2025
Special Focus
SFF Candidate

Staffing Data

RN Hours
0.29 (nat'l avg: 0.68)
LPN Hours
1.08
CNA Hours
1.33
Total Nursing Hours
2.70 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
100.0%

What the CMS Record Reveals About Concordia Nursing & Rehab, LLC

Concordia Nursing & Rehab, LLC operates 102 certified beds in Bella Vista, AR with approximately 30 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (1★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 37 deficiency records from recent surveys, of which 7 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $122K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 2.70 total nursing hours per resident day (national average 3.89), with RN coverage at 0.29 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature. This facility is currently designated "SFF Candidate" under the CMS Special Focus Facility program, reserved for providers with a persistent pattern of serious quality problems.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Concordia Nursing & Rehab, LLC falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 100.0%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (37 most recent)

F — Widespread - Minimal harm May 6, 2025 Tag: 0729

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 7, 2025

F — Widespread - Minimal harm May 6, 2025 Tag: 0946

Provide training in compliance and ethics.

Category: Administration Deficiencies

Corrected: Jun 6, 2025

F — Widespread - Minimal harm May 6, 2025 Tag: 0944

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Category: Administration Deficiencies

Corrected: Jun 6, 2025

E — Pattern - Minimal harm May 6, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 6, 2025

E — Pattern - Minimal harm May 6, 2025 Tag: 0848

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Category: Administration Deficiencies

Corrected: Oct 7, 2025

E — Pattern - Minimal harm May 6, 2025 Tag: 0847

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Category: Administration Deficiencies

Corrected: Oct 7, 2025

F — Widespread - Minimal harm May 6, 2025 Tag: 0844

Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

Category: Administration Deficiencies

Corrected: Jun 6, 2025

F — Widespread - Minimal harm May 6, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 6, 2025

F — Widespread - Minimal harm May 6, 2025 Tag: 0838

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Category: Administration Deficiencies

Corrected: Jun 6, 2025

L — Widespread - Jeopardy May 6, 2025 Tag: 0835

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Category: Administration Deficiencies

Corrected: Jun 6, 2025

E — Pattern - Minimal harm May 6, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 6, 2025

L — Widespread - Jeopardy May 6, 2025 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 7, 2025

K — Pattern - Jeopardy May 6, 2025 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Jun 6, 2025

K — Pattern - Jeopardy May 6, 2025 Tag: 0700

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm May 6, 2025 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 6, 2025

K — Pattern - Jeopardy May 6, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 6, 2025

J — Isolated - Jeopardy May 6, 2025 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 6, 2025

E — Pattern - Minimal harm May 6, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 6, 2025

E — Pattern - Minimal harm May 6, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 7, 2025

E — Pattern - Minimal harm May 6, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 6, 2025

E — Pattern - Minimal harm May 6, 2025 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 6, 2025

F — Widespread - Minimal harm May 6, 2025 Tag: 0577

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Category: Resident Rights Deficiencies

Corrected: Jun 6, 2025

D — Isolated - Minimal harm May 6, 2025 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 6, 2025

E — Pattern - Minimal harm Feb 1, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 29, 2024

D — Isolated - Minimal harm Feb 1, 2024 Tag: 0849

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Category: Administration Deficiencies

Corrected: Feb 29, 2024

F — Widespread - Minimal harm Feb 1, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 29, 2024

E — Pattern - Minimal harm Feb 1, 2024 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 29, 2024

E — Pattern - Minimal harm Feb 1, 2024 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 29, 2024

E — Pattern - Minimal harm Feb 1, 2024 Tag: 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.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 29, 2024

E — Pattern - Minimal harm Feb 1, 2024 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 29, 2024

G — Isolated - Actual harm Feb 1, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 29, 2024

E — Pattern - Minimal harm Feb 1, 2024 Tag: 0639

Maintain 15 months of resident assessments in the resident's active clinical record.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 29, 2024

D — Isolated - Minimal harm Feb 1, 2024 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Feb 29, 2024

F — Widespread - Minimal harm Oct 27, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 25, 2022

E — Pattern - Minimal harm Oct 27, 2022 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 25, 2022

B — Pattern - No harm Oct 27, 2022 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 27, 2022

D — Isolated - Minimal harm Oct 27, 2022 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Nov 25, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 19.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 11.3% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 5.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 5.1% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 7.7% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 85.3% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay N/A Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 25.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 73.5% No
Percentage of long-stay residents with pressure ulcers Long Stay 1.9% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 12.2% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 11.8% Yes

Penalty History 2 penalties totaling $122K

Date Type Amount
May 6, 2025 Fine $172K
May 6, 2025 Payment Denial -
Feb 1, 2024 Fine $10K

Frequently Asked Questions

What is the overall CMS rating for Concordia Nursing & Rehab, LLC?
Concordia Nursing & Rehab, LLC has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (4★).
What are the staffing levels at Concordia Nursing & Rehab, LLC?
Concordia Nursing & Rehab, LLC reports 2.70 total nursing hours per resident day (national average: 3.89). RN hours are 0.29 per resident day (national average: 0.68). Nursing staff turnover is 100.0%.
How many beds does Concordia Nursing & Rehab, LLC have?
Concordia Nursing & Rehab, LLC has 102 certified beds with approximately 30 residents. The facility is located at 7 Professional Drive, Bella Vista, AR 72714.
Does Concordia Nursing & Rehab, LLC have any deficiencies on record?
Yes, Concordia Nursing & Rehab, LLC has 37 deficiencies on record from recent inspections. Of these, 7 are classified as causing actual harm or jeopardy.
Has Concordia Nursing & Rehab, LLC received any fines or penalties?
Yes, Concordia Nursing & Rehab, LLC has received 2 penalties totaling $122K.
Who owns Concordia Nursing & Rehab, LLC?
Concordia Nursing & Rehab, LLC is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Concordia Nursing & Rehab, LLC last inspected?
The most recent health inspection for Concordia Nursing & Rehab, LLC was on May 6, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Concordia Nursing & Rehab, LLC?
Concordia Nursing & Rehab, LLC is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial