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Nursing HomeMedicaid Top Rated

North Hills Life Care and Rehab

Strong Medicare quality ratings; families often praise highly skilled physical and occupational therapy team. Still worth an in-person visit.

27 E Appleby Road, Fayetteville, AR 7270392 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 56 Google reviews

5
4
3
2
1
North Hills Life Care and Rehab Nursing Home in Fayetteville, AR — Street View
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What this means for your family

This facility's therapy department is highly regarded, making it a potential option for short-term rehabilitation. However, the recurring reports of understaffing and delayed medication administration are critical concerns; we strongly recommend visiting during off-hours and asking management specifically how they handle weekend staffing ratios and patient call-light response times.

Google Reviews

Google Reviews

56 reviews on Google
North Hills Life Care and Rehab receives highly polarized reviews, with many families praising the kindness of individual staff members and the effectiveness of the therapy department. However, there is a consistent pattern of complaints regarding chronic understaffing, which leads to delayed medication administration, poor hygiene assistance, and slow response times for residents needing help. Families should be aware that while some experiences are positive, others report significant concerns regarding clinical oversight and basic patient care standards.

Quality Themes

Tap a score for details
Food3.0Staff6.0Clean5.0ActivitiesN/AMeds2.0Memory7.0Comms4.0ValueN/A

Strengths

  • Highly skilled physical and occupational therapy team
  • Compassionate and kind individual nursing staff
  • Clean and well-maintained facility environment
  • Supportive administrative team

Concerns

  • Chronic understaffing leading to delayed care (mentioned by 8 reviewers)
  • Medication management errors and delays (mentioned by 5 reviewers)
  • Poor hygiene assistance and infrequent showering (mentioned by 4 reviewers)
  • Cold or poor quality food (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'17(2)'20(3)'22(8)'24(7)'26(14)

Distribution · 58 analyzed

5
34
4
4
3
1
2
3
1
16

How They Respond to Reviews

37%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given that the therapy team is so highly regarded here, how do you coordinate their sessions with the nursing staff to ensure my loved one receives consistent care throughout the day?
  • 2I understand that maintaining timely medication schedules is critical; what specific protocols or double-check systems do you have in place to ensure medications are administered accurately and on time?
  • 3With a capacity of 92 residents, how do you ensure that each individual receives prompt attention when they need assistance with daily hygiene or showering?
  • 4I’ve heard great things about the cleanliness of the facility, but could you walk me through how you manage staffing levels during peak hours to ensure that care isn't delayed for residents?
  • 5What steps are being taken to improve the variety and quality of the dining experience, and are there options for residents who have specific dietary preferences or needs?
  • 6How does your administrative team facilitate communication with families, and what is the best way for us to stay updated on our loved one's daily well-being and any changes in their care plan?

Personalized based on this facility's data


Key Review Excerpts

The therapy staff is outstanding! The meals are very good... My only fault lies with the under staffing of aid staff. All aids work very hard and could use additional help!

Long-term resident's family · 2024★★★★

My 96 year old mother in law has been well cared for in the memory wing for several months by patient and kind caregivers. It’s a difficult situation dealing with severe memory issues for the family and we so appreciate their patience in caring for her.

Memory care family member · 2023★★★★★

The staff is very nice but it's like they short of help. Patients will call for help and they have to wait a long time for someone to come assist which leads to some using it on themselves.

Family member · 2024★★☆☆☆
Source: 56 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.38hrs
50%
Registered nurses for medical care
Total Nursing
4.05hrs
99%
All nurses + aides combined
Staff Turnover
47%
Lower is better (< 30% = good)
RN Turnover
88%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

16

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility2.3%
Better than Avg
Here
2.3%
US
15.5%
AR
11.1%
Washington
16.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
AR
1.4%
Washington
7.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.5%
Better than Avg
Here
5.5%
US
15.3%
AR
11.0%
Washington
15.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility11.5%
Better than Avg
Here
11.5%
US
19.4%
AR
14.0%
Washington
20.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility14.7%
Better than Avg
Here
14.7%
US
19.5%
AR
21.7%
Washington
19.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.7%
Better than Avg
Here
99.7%
US
93.4%
AR
94.9%
Washington
94.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.1%
Better than Avg
Here
98.1%
US
81.8%
AR
82.0%
Washington
82.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility84.4%
Better than Avg
Here
84.4%
US
79.8%
AR
77.7%
Washington
79.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
AR
1.3%
Washington
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

0deficiencies
Well below state avg (4.3)
2 complaint-triggered
Clean record — no deficiencies

This facility has had persistent issues with quality of care, fire safety systems, and medication management across multiple surveys from 2022-2024, with families filing complaints about inadequate treatment and communication in 2024. The recurring problems include smoke detection deficiencies appearing in three separate surveys and quality of care issues spanning all four inspections. While all deficiencies show correction dates, the pattern of repeated violations in core safety and care areas suggests ongoing challenges with maintaining consistent standards.

Apr 9, 2026Routine
1
0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

Aug 22, 2024Routine
7
0761Potential for harm · WidespreadCorrected

Pharmacy Service Deficiencies

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.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0347Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0583Potential for harm · PatternCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

May 7, 2024Complaint
2
0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Jun 2, 2023Routine
10
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0223Potential for harm · PatternCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0347Potential for harm · PatternCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0568Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

North Hills Life Care and Rehab

Organization Type

for profit

Chain Affiliation

Chain Name

Anthony & Bryan Adams

Chain Size

38 facilities nationwide

Chain avg rating: 3.8/5 · Rank 18 of 37

Ownership & Management

Key personnel

Angel, TammyManaging Control - Governing BodyTalley, CraigManaging Control - Governing BodyThomas, DarrylManaging Control - Governing BodyAdams, AnthonyOfficer / DirectorAdams, BryanOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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