Fianna Hills Nursing & Rehab in Fort Smith, AR

Pros

• The facility is clean and provides adequate care.
• The residents are well cared for.
• The staff seem friendly and caring.
• The admin and staff are exceptional and genuinely concerned about the patients.
• The staff are amazing and treat everyone like family.
• The team will do whatever it takes to make any situation right.
• Jessica in transportation is particularly kind and empathetic.
• Rhonda the social worker is very responsive.

Cons

• The administration is terrible.
• The meals were unappetizing and of questionable quality, described as “something the dog threw up.”
• They lack adequate dementia care knowledge and ongoing staff training, harming residents with dementia.
• The facility is old, dirty, and poorly maintained.
• There is favoritism among CNAs and staff, leading to unfair treatment of residents.
• They are chronically understaffed, resulting in delays and subpar care.
• They do not consistently follow medical orders, requiring families to intervene repeatedly.
• It seems the facility prioritizes cost-cutting and profits over residents’ well-being.

Review

Fianna Hills Nursing & Rehab is best suited for families that can act as vigilant advocates, value a clean, home-like atmosphere, and are willing to navigate uneven administrative oversight. The facility can deliver moments of genuine compassion from front-line staff, and the environment can feel welcoming to residents who are relatively stable or recovering from a short-term setback. However, it is not the right fit for those requiring consistent, tightly managed dementia care, perfectly reliable meal quality, or an administration that is visibly and continually present in daily caregiving. For families prioritizing proactive care planning, transparent communication, and uniform standards across shifts, Fianna Hills will demand pushback and persistent follow-up.

Those considering alternatives should weigh two critical red flags: care management and culinary consistency. Several reviews highlight administration that is distant or unengaged, with many families needing to intervene repeatedly to address medical orders, medication administration, or the pace of repairs. Dementia care, in particular, emerges as a weak link for some families, with residents experiencing multiple moves or transitions that disrupt stabilization. If a resident relies on stable routines, predictable staffing, and rigorous adherence to care plans, stronger options exist. Facilities with demonstrable, hands-on leadership and clearer ownership of daily operations tend to deliver a different level of reliability.

The positive threads at Fianna Hills, cleanliness in certain wings, moments of staff warmth, and caregivers who express genuine care, do matter. For residents who respond well to a familial atmosphere and to caregivers who take time to engage in small acts of kindness, the facility can feel like a compassionate respite. The evidence suggests that when the administration communicates and when social workers or transportation staff are responsive, families experience relief and reassurance. These bright spots indicate that the underlying culture has the potential to support meaningful stays, provided that leadership commits to sustaining and expanding these strengths across all shifts and departments.

Yet the negatives consistently pull the balance toward caution. Widespread concerns about under-staffing and inconsistent coverage translate into delayed or uneven care, with reports of late or missed medications and delayed maintenance. Meals and nutrition emerge as a frequent sore point; descriptions of unappealing, low-quality, or ill-balanced meals clash with the fundamental expectation that nutrition sustain strength and recovery, especially for rehab or long-term care residents. The most troubling notes involve administrative disengagement, when leaders seem inaccessible, unresponsive to grievances, or slow to implement corrections identified by families. In those cases, the overall experience can feel unsteady, and the risk to vulnerable residents rises.

From a decision-making standpoint, the key lever is ongoing family involvement and a clear expectation-setting with management. Families should demand visible accountability from the director of nursing, insist on regular care plan reviews, and set explicit timelines for medication reconciliation and preventive maintenance. It is prudent to interview current residents and families about meal quality, staffing patterns, and the availability of activities or dementia-focused programming. If the goal is memory care with structured engagement, Fianna Hills is unlikely to deliver consistently without renewed, sustained commitment from administrative leadership and frontline supervisors. In that light, families should consider nearby facilities with reputations for steadier dementia care, stronger mealtime programs, and more transparent governance.

In the end, Fianna Hills presents a mixed proposition. For those able to partner closely with staff, insist on timely medical orders, and keep a steady line of communication with the social worker and administration, the facility can provide a respectful, clean environment and compassionate caregivers. However, for families seeking a highly reliable, uniformly managed experience, especially where dementia care, pain management, and nutrition are non-negotiable pillars, this community may not meet expectations consistently. Alternative options with more assertive leadership, better meal programs, and demonstrably lower staff turnover should be prioritized. The decision should rest on whether proactive oversight and the willingness to repeatedly press for improvement align with the family’s capacity and the resident’s needs. Fianna Hills can work, but only for those prepared to do the work and to demand more every step of the way.

Located in Fort Smith, Arkansas, this area is a vibrant and convenient neighborhood for senior living. With a diverse range of places of worship nearby, including Masjid Al Salam and GenesisConference, residents have ample opportunities for spiritual fulfillment. In terms of healthcare, there are several pharmacies such as Harps Pharmacy and Health Depot within close proximity, ensuring easy access to medication and medical supplies. Additionally, reputable physicians like Laster Eye Center and Sparks Family Medicine South are available for quality healthcare services. For dining options, there are popular eateries like Waffle House and McDonald's nearby, providing convenient choices for meals. The presence of entertainment venues like AMC Theater 14 offers leisure activities for seniors looking to enjoy a night out. Overall, this neighborhood offers a well-rounded community with essential amenities for seniors seeking a comfortable and convenient lifestyle in Fort Smith.

Places of Worship

• Masjid Al Salam (0.1 miles)
• GenesisConference (0.2 miles)
• Rock Church Of Fort Smith (3.9 miles)

Pharmacies

• Harps Pharmacy (0.3 miles)
• Health Depot (1.2 miles)
• Health Depot Dme (1.2 miles)
• MediSav Homecare Pharmacy (1.7 miles)
• MediSav #3 (1.8 miles)
• Walgreens (1.8 miles)
• Psg (3.1 miles)

Physicians

• Laster Eye Center (0.5 miles)
• Bodiford Eye Center (0.5 miles)
• Fort Smith Radiation Oncology (0.5 miles)
• Sparks Medical Foundation (0.5 miles)
• Sparks Family Medicine South (0.5 miles)
• Brad Russell Johnson (1.2 miles)
• Johnson Dermatology (3 miles)

Restaurants

• Waffle House (1 miles)
• McDonald's (1.1 miles)
• Taco Bell (1.1 miles)
• Popeyes Louisiana Kitchen (1.7 miles)
• Braum's (1.8 miles)
• KFC (1.9 miles)
• McDonald's (2.3 miles)

Theaters

• AMC Theater 14 (2.3 miles)

Cafes

• On-Line Shopping Store (2.4 miles)
• Starbucks (4.5 miles)
• Panera Bread (4.6 miles)

Hospitals

• St Edward Mercy Medical Center (4.5 miles)
• St Edward Mercy Health System (4.6 miles)
• Baptist Health Foot And Ankle Clinicfort Smith Fort Smith (4.7 miles)
• The Women's Center (4.7 miles)