{"schema_version":"1.0.0","facility":{"id":"cms-045218","ccn":"045218","name":"Gassville Therapy and Living","source_name":"GASSVILLE THERAPY AND LIVING","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"AR","address":{"line1":"203 Cotter Road","city":"Gassville","state":"AR","zip":"72635","county_name":"Baxter County","county_fips":"05005","county_method":"name_match","ssa_county_code":"020","urban":false},"location":{"lat":36.2808,"lon":-92.499,"method":"cms_published_coordinates"},"phone":"8704352588","certification":{"authority":"CMS","ccn":"045218","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1993-11-01","certified_beds":105,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/045218"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":105,"avg_residents_per_day":48.3},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name":"GVNC, INC.","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":5},"health_inspection":{"value":3},"quality_measures":{"value":5},"long_stay_qm":{"value":5},"short_stay_qm":{"footnote":"2"},"staffing":{"value":5},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.23529,"lpn_hprd":0.64745,"rn_hprd":0.86522,"licensed_hprd":1.51267,"total_nurse_hprd":3.74796,"weekend_total_nurse_hprd":3.17583,"weekend_rn_hprd":0.52995,"pt_hprd":0.0053,"nursing_turnover_pct":35.7,"rn_turnover_pct":0,"administrators_left":2,"case_mix_index":1.14533,"case_mix_index_ratio":0.81215,"case_mix_total_nurse_hprd":3.16806,"adjusted_total_nurse_hprd":4.57867,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-12-18","cycle1_deficiencies":0,"cycle1_score":0,"cycle2_date":"2024-07-11","cycle23_deficiencies":12,"cycle23_score":88,"total_weighted_score":22},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-36","cms_chain_id":"36","name":"ANTHONY & BRYAN ADAMS"},"operator_id":"op-gvnc-inc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/045218","provenance":[{"source_id":"cms_provider_info","source_record_id":"045218","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045218&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"045218","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045218&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":9,"health_count":6,"fire_count":3,"complaint_count":4,"latest_date":"2025-12-18","latest_standard_health":"2025-12-18","earliest_date":"2023-04-21","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":32,"health_count":23,"fire_count":9,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":7,"by_severity":{"potential":32},"by_scope_severity":{"F":10,"E":11,"D":11},"by_concept":{"environment_life_safety":6,"resident_rights":3,"emergency_preparedness":4,"clinical_care":12,"food_nutrition":5,"staffing":1,"infection_prevention":1},"type_ids":["cms-k0351","cms-k0353","cms-k0355","cms-k0293","cms-f0557","cms-f0921","cms-e0025","cms-e0026","cms-e0039","cms-k0347","cms-f0656","cms-f0689","cms-f0690","cms-f0585","cms-f0677","cms-f0805","cms-f0812","cms-f0657","cms-f0684","cms-e0004","cms-f0725","cms-f0880","cms-f0552","cms-f0644","cms-f0660","cms-f0688","cms-f0695","cms-f0741"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":27,"organizations":5,"individuals":22,"not_available":false}},"row":{"id":"cms-045218","ccn":"045218","name":"Gassville Therapy and Living","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"AR","city":"Gassville","zip":"72635","county_fips":"05005","county_name":"Baxter County","address":"203 Cotter Road","beds":105,"residents":48.3,"ownership":"for_profit","operator_id":"op-gvnc-inc","operator_name":"Gvnc, Inc","chain_id":"cms-chain-36","chain_name":"Anthony & Bryan Adams","lat":36.2808,"lon":-92.499,"overall":5,"health_rating":3,"staffing_rating":5,"qm_rating":5,"nurse_hprd":3.75,"turnover":35.7,"inspections":9,"last_inspection":"2025-12-18","deficiencies":32,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-k0351","cms-k0353","cms-k0355","cms-k0293","cms-f0557","cms-f0921","cms-e0025","cms-e0026","cms-e0039","cms-k0347","cms-f0656","cms-f0689","cms-f0690","cms-f0585","cms-f0677","cms-f0805","cms-f0812","cms-f0657","cms-f0684","cms-e0004","cms-f0725","cms-f0880","cms-f0552","cms-f0644","cms-f0660","cms-f0688","cms-f0695","cms-f0741"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-gvnc-inc","name":"Gvnc, Inc","legal_name":"GVNC, INC","facility_count":1,"states":["AR"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-36","name":"Anthony & Bryan Adams","cms_chain_id":"36","facility_count":38,"states":["AR","MO"],"cms_reported":{"facility_count":38,"avg_overall_rating":3.9,"avg_health_inspection_rating":3.4,"avg_staffing_rating":3.2,"avg_qm_rating":4.6}},"ownership":[{"owner_type":"individual","owner_name":"Nora Dvorak","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2017-01-01","owner_name_raw":"DVORAK, NORA"},{"owner_type":"individual","owner_name":"Steven Larson","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-16","owner_name_raw":"LARSON, STEVEN"},{"owner_type":"individual","owner_name":"Kathy Speaks","role":"managing_control","role_raw":"MANAGING CONTROL - GOVERNING BODY","percentage_raw":"NOT APPLICABLE","association_date":"2022-04-01","owner_name_raw":"SPEAKS, KATHY"},{"owner_type":"individual","owner_name":"Steven Larson","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-16","owner_name_raw":"LARSON, STEVEN"},{"owner_type":"individual","owner_name":"John Scribner","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-28","owner_name_raw":"SCRIBNER, JOHN"},{"owner_type":"individual","owner_name":"Nora Dvorak","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2017-01-01","owner_name_raw":"DVORAK, NORA"},{"owner_type":"individual","owner_name":"Anthony Adams","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2014-04-01","owner_name_raw":"ADAMS, ANTHONY"},{"owner_type":"individual","owner_name":"Bryan Adams","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2014-04-01","owner_name_raw":"ADAMS, BRYAN"},{"owner_type":"individual","owner_name":"John Ellis","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2014-04-01","owner_name_raw":"ELLIS, JOHN"},{"owner_type":"individual","owner_name":"Tobey Koehler","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2014-04-01","owner_name_raw":"KOEHLER, TOBEY"},{"owner_id":"org-health-care-solutions-llc","owner_type":"organization","owner_name":"Health Care Solutions, LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2014-04-01"},{"owner_id":"org-incite-rehab-llc","owner_type":"organization","owner_name":"Incite Rehab, LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2014-04-01"},{"owner_id":"org-ltc-systems-rx-llc","owner_type":"organization","owner_name":"Ltc Systems/Rx, LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2014-04-01"},{"owner_id":"org-pharmacy-consults-llc","owner_type":"organization","owner_name":"Pharmacy Consults, LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2014-04-01"},{"owner_id":"org-reliance-health-care-inc","owner_type":"organization","owner_name":"Reliance Health Care, Inc","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2014-04-01"},{"owner_type":"individual","owner_name":"Benjamin Cooper","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2019-10-24","owner_name_raw":"COOPER, BENJAMIN"},{"owner_type":"individual","owner_name":"James Cooper","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2019-10-24","owner_name_raw":"COOPER, JAMES"},{"owner_type":"individual","owner_name":"Robert Cooper","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2019-10-24","owner_name_raw":"COOPER, ROBERT"},{"owner_type":"individual","owner_name":"Nora Dvorak","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2017-01-01","owner_name_raw":"DVORAK, NORA"},{"owner_type":"individual","owner_name":"John Ellis","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2014-04-01","owner_name_raw":"ELLIS, JOHN"},{"owner_type":"individual","owner_name":"Tobey Koehler","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2014-04-01","owner_name_raw":"KOEHLER, TOBEY"},{"owner_type":"individual","owner_name":"Steven Larson","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-16","owner_name_raw":"LARSON, STEVEN"},{"owner_type":"individual","owner_name":"William Mainord","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2014-04-01","owner_name_raw":"MAINORD, WILLIAM"},{"owner_type":"individual","owner_name":"Larry Mcginnis","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2014-04-01","owner_name_raw":"MCGINNIS, LARRY"},{"owner_type":"individual","owner_name":"Rita Pedigo","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2014-04-01","owner_name_raw":"PEDIGO, RITA"},{"owner_type":"individual","owner_name":"John Scribner","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-28","owner_name_raw":"SCRIBNER, JOHN"},{"owner_type":"individual","owner_name":"Kathy Speaks","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-04-01","owner_name_raw":"SPEAKS, KATHY"}],"inspections":[{"id":"cms-045218-20251218-fire","ccn":"045218","date":"2025-12-18","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0293","ss":"E","sl":2,"cs":"corrected","cd":"2025-12-18","std":1,"tv":"New"},{"t":"cms-k0351","ss":"F","sl":2,"cs":"corrected","cd":"2026-01-16","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2025-12-22","std":1,"tv":"New"},{"t":"cms-k0355","ss":"F","sl":2,"cs":"corrected","cd":"2025-12-19","std":1,"tv":"New"}]},{"id":"cms-045218-20251218-health","ccn":"045218","date":"2025-12-18","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-045218-20241119-health","ccn":"045218","date":"2024-11-19","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0557","ss":"E","sl":2,"cs":"corrected","cd":"2024-12-19","cmp":1},{"t":"cms-f0921","ss":"E","sl":2,"cs":"corrected","cd":"2024-12-19","cmp":1}]},{"id":"cms-045218-20240711-fire","ccn":"045218","date":"2024-07-11","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0025","ss":"F","sl":2,"cs":"corrected","cd":"2024-08-09","std":1,"tv":"New"},{"t":"cms-e0026","ss":"F","sl":2,"cs":"corrected","cd":"2024-08-09","std":1,"tv":"New"},{"t":"cms-e0039","ss":"F","sl":2,"cs":"corrected","cd":"2024-08-09","std":1,"tv":"New"},{"t":"cms-k0347","ss":"F","sl":2,"cs":"corrected","cd":"2024-08-09","std":1,"tv":"New"}]},{"id":"cms-045218-20240711-health","ccn":"045218","date":"2024-07-11","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[2,3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":7,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0585","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-09","cmp":1,"std":1},{"t":"cms-f0656","ss":"E","sl":2,"cs":"corrected","cd":"2024-08-09","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-09","std":1},{"t":"cms-f0689","ss":"E","sl":2,"cs":"corrected","cd":"2024-08-09","cmp":1,"std":1},{"t":"cms-f0690","ss":"E","sl":2,"cs":"corrected","cd":"2024-08-09","std":1},{"t":"cms-f0805","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-09","std":1},{"t":"cms-f0812","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-09","std":1}]},{"id":"cms-045218-20240125-health","ccn":"045218","date":"2024-01-25","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2024-02-21","cmp":1}]},{"id":"cms-045218-20231207-health","ccn":"045218","date":"2023-12-07","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0657","ss":"E","sl":2,"cs":"corrected","cd":"2024-01-06","cmp":1},{"t":"cms-f0684","ss":"E","sl":2,"cs":"corrected","cd":"2024-01-06","cmp":1}]},{"id":"cms-045218-20230421-fire","ccn":"045218","date":"2023-04-21","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0004","ss":"F","sl":2,"cs":"corrected","cd":"2023-05-21","std":1,"tv":"New"}]},{"id":"cms-045218-20230421-health","ccn":"045218","date":"2023-04-21","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":11,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0552","ss":"D","sl":2,"cs":"corrected","cd":"2023-05-21","std":1},{"t":"cms-f0644","ss":"D","sl":2,"cs":"corrected","cd":"2023-05-21","std":1},{"t":"cms-f0656","ss":"E","sl":2,"cs":"corrected","cd":"2023-05-21","std":1},{"t":"cms-f0660","ss":"D","sl":2,"cs":"corrected","cd":"2023-05-21","std":1},{"t":"cms-f0688","ss":"D","sl":2,"cs":"corrected","cd":"2023-05-21","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2023-05-21","std":1},{"t":"cms-f0725","ss":"E","sl":2,"cs":"corrected","cd":"2023-05-21","std":1},{"t":"cms-f0741","ss":"D","sl":2,"cs":"corrected","cd":"2023-05-21","std":1},{"t":"cms-f0805","ss":"D","sl":2,"cs":"corrected","cd":"2023-05-21","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2023-05-21","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2023-05-21","std":1}]}],"deficiency_types":{"cms-k0351":{"code":"K-0351","title":"Install an approved automatic sprinkler system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0355":{"code":"K-0355","title":"Properly select, install, inspect, or maintain portable fire extinguishes.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0293":{"code":"K-0293","title":"Have properly located and lighted \"Exit\" signs.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0557":{"code":"F-0557","title":"Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0921":{"code":"F-0921","title":"Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-e0025":{"code":"E-0025","title":"Create arrangements with other facilities to receive patients.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0026":{"code":"E-0026","title":"Establish roles under a Waiver declared by secretary.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0039":{"code":"E-0039","title":"Conduct testing and exercise requirements.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0347":{"code":"K-0347","title":"Properly provide smoke detection systems in areas open to corridors.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0656":{"code":"F-0656","title":"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","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0689":{"code":"F-0689","title":"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","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0690":{"code":"F-0690","title":"Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0585":{"code":"F-0585","title":"Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0677":{"code":"F-0677","title":"Provide care and assistance to perform activities of daily living for any resident who is unable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0805":{"code":"F-0805","title":"Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0812":{"code":"F-0812","title":"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","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0657":{"code":"F-0657","title":"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","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0684":{"code":"F-0684","title":"Provide appropriate treatment and care according to orders, resident’s preferences and goals.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-e0004":{"code":"E-0004","title":"Develop and maintain an Emergency Preparedness Program (EP).","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-f0725":{"code":"F-0725","title":"Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.","category":"Nursing and Physician Services Deficiencies","concept":"staffing","concept_label":"Staffing & supervision"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0552":{"code":"F-0552","title":"Ensure that residents are fully informed and understand their health status, care and treatments.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0644":{"code":"F-0644","title":"Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0660":{"code":"F-0660","title":"Plan the resident's discharge to meet the resident's goals and needs.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0688":{"code":"F-0688","title":"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","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0741":{"code":"F-0741","title":"Ensure that the facility has sufficient staff members who possess the  competencies and skills to meet the behavioral health needs of residents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"}},"penalties":[],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045218&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045218&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045218&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045218&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045218&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=045218&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"AR","overall_rating":3.5,"health_inspection_rating":3.1,"qm_rating":3.9,"staffing_rating":3.4,"avg_residents_per_day":78.1,"cycle1_health_deficiencies":2.7,"cycle1_fire_deficiencies":2.1,"nurse_aide_hprd":2.73,"lpn_hprd":0.93,"rn_hprd":0.41408,"licensed_hprd":1.35,"total_nurse_hprd":4.07811,"weekend_total_nurse_hprd":3.44921,"weekend_rn_hprd":0.28,"pt_hprd":0.03,"nursing_turnover_pct":49,"rn_turnover_pct":42.5,"administrators_left":0.3,"case_mix_index":1.20145,"fines":0.5,"fine_amount":8582,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"AR","name":"Arkansas"},"county":{"fips":"05005","name":"Baxter County"},"zip":"72635","city":"Gassville"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-045173","ccn":"045173","name":"Silver Oaks Health and Rehabilitation","address":"1875 Old Wire Road","city":"Camden","state":"AR","zip":"71701","beds":104,"overall":4,"inspections":7,"last_inspection":"2025-06-05","deficiencies":18,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-045196","ccn":"045196","name":"Southridge Village Nursing and Rehab","address":"400 Southridge Parkway","city":"Heber Springs","state":"AR","zip":"72543","beds":122,"overall":5,"inspections":6,"last_inspection":"2026-02-20","deficiencies":12,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-045201","ccn":"045201","name":"Chapel Woods Health and Rehabilitation","address":"1440 East Church","city":"Warren","state":"AR","zip":"71671","beds":140,"overall":5,"inspections":9,"last_inspection":"2026-04-30","deficiencies":32,"serious":1,"ij":1,"open":0,"fines_total":8281,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-045209","ccn":"045209","name":"The Crossing at Riverside Health and Rehabilitatio","address":"2500 East Moore Avenue","city":"Searcy","state":"AR","zip":"72143","beds":138,"overall":5,"inspections":6,"last_inspection":"2025-11-14","deficiencies":9,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-045241","ccn":"045241","name":"Bailey Creek Health and Rehab","address":"1621 East 42nd St","city":"Texarkana","state":"AR","zip":"71854","beds":74,"overall":2,"inspections":9,"last_inspection":"2026-04-09","deficiencies":19,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-045248","ccn":"045248","name":"Southfork River Therapy and Living","address":"624 Hwy 62/412 West","city":"Salem","state":"AR","zip":"72576","beds":84,"overall":5,"inspections":6,"last_inspection":"2026-03-12","deficiencies":13,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-045271","ccn":"045271","name":"Oak Ridge Health and Rehabilitation","address":"501 Hudson St","city":"El Dorado","state":"AR","zip":"71730","beds":180,"overall":5,"inspections":6,"last_inspection":"2026-03-19","deficiencies":18,"serious":0,"ij":0,"open":1,"fines_total":66632,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-045280","ccn":"045280","name":"Twin Lakes Therapy and Living","address":"6152 Highway 202 East","city":"Flippin","state":"AR","zip":"72634","beds":80,"overall":2,"inspections":7,"last_inspection":"2025-06-12","deficiencies":34,"serious":2,"ij":2,"open":0,"fines_total":25678,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":37,"same_site_review":[],"nearby":[{"id":"cms-045280","ccn":"045280","name":"Twin Lakes Therapy and Living","address":"6152 Highway 202 East","city":"Flippin","state":"AR","zip":"72634","beds":80,"overall":2,"inspections":7,"last_inspection":"2025-06-12","deficiencies":34,"serious":2,"ij":2,"open":0,"fines_total":25678,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":10.1},{"id":"cms-045471","ccn":"045471","name":"Hiram Shaddox Health and Rehab","address":"1100 Pinetree Lane","city":"Mountain Home","state":"AR","zip":"72653","beds":140,"overall":5,"inspections":6,"last_inspection":"2025-05-15","deficiencies":21,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":10.6},{"id":"cms-045351","ccn":"045351","name":"Care Manor Nursing and Rehab","address":"804 Burnett Drive","city":"Mountain Home","state":"AR","zip":"72653","beds":104,"overall":5,"inspections":7,"last_inspection":"2025-08-29","deficiencies":18,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":11.1},{"id":"cms-045250","ccn":"045250","name":"Lake Forest Senior Living at Mountain Home","address":"300 Good Samaritan Drive","city":"Mountain Home","state":"AR","zip":"72653","beds":70,"overall":3,"inspections":8,"last_inspection":"2025-08-20","deficiencies":29,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":13.7}]}}