Gassville Therapy and Living — nursing home in Gassville, AR

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 105 CMS-certified beds (not state-licensed beds)
Licensed beds: 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.
Average residents per day: 48.3 CMS, MDS-derived
CMS Certification Number: 045218
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Nov 1, 1993
Ownership type: For profit - Corporation
Operator (legal business name): Gvnc, Inc
CMS chain: Anthony & Bryan Adams 38 facilities
Phone: (870) 435-2588
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest Dec 18, 2025

Citations

32

23 health · 9 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D11	E11	F10
Minimal	A·	B·	C·

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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 045218
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 105
First approved: Nov 1, 1993
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

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. State coverage for Arkansas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Dec 18, 2025	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Dec 18, 2025	Health	Health Standard	0	No citations	—	Open →
Nov 19, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Jul 11, 2024	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jul 11, 2024	Health	Health Complaint, Health Standard	7	Potential harm	—	Open →
Jan 25, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Dec 7, 2023	Health	Health Complaint	2	Potential harm	—	Open →
Apr 21, 2023	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Apr 21, 2023	Health	Health Standard	11	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D11	E11	F10
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Dec 18, 2025	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 18, 2025
Dec 18, 2025	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 16, 2026
Dec 18, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 22, 2025
Dec 18, 2025	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 19, 2025
Nov 19, 2024	F-0557	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Dec 19, 2024	Complaint
Nov 19, 2024	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 19, 2024	Complaint
Jul 11, 2024	E-0025	Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Aug 9, 2024
Jul 11, 2024	E-0026	Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Aug 9, 2024
Jul 11, 2024	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Aug 9, 2024
Jul 11, 2024	K-0347	Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 9, 2024
Jul 11, 2024	F-0585	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 9, 2024	Complaint
Jul 11, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Aug 9, 2024
Jul 11, 2024	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 9, 2024
Jul 11, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Aug 9, 2024	Complaint
Jul 11, 2024	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Aug 9, 2024
Jul 11, 2024	F-0805	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Aug 9, 2024
Jul 11, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Aug 9, 2024
Jan 25, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Feb 21, 2024	Complaint
Dec 7, 2023	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 6, 2024	Complaint
Dec 7, 2023	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 6, 2024	Complaint
Apr 21, 2023	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected May 21, 2023
Apr 21, 2023	F-0552	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 21, 2023
Apr 21, 2023	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 21, 2023
Apr 21, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected May 21, 2023
Apr 21, 2023	F-0660	Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 21, 2023
Apr 21, 2023	F-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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 21, 2023
Apr 21, 2023	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 21, 2023
Apr 21, 2023	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected May 21, 2023
Apr 21, 2023	F-0741	Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 21, 2023
Apr 21, 2023	F-0805	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected May 21, 2023
Apr 21, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected May 21, 2023
Apr 21, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected May 21, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.5

Health inspectionsstate 3.1

Staffingstate 3.4

Quality measuresstate 3.9

Long-stay QM

Short-stay QMNot rated

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.75

State avg 4.08US avg 3.90

Registered nurse (RN)0.87

State avg 0.41US avg 0.69

Licensed practical nurse0.65

State avg 0.93US avg 0.86

Nurse aide2.24

State avg 2.73US avg 2.35

Weekend total nurse3.18

State avg 3.45US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.58 (case-mix index 1.15).

Staff turnover

Total nursing staff turnover35.7%

State avg 49.0%US avg 45.3%

Registered nurse turnover0.0%

State avg 42.5%US avg 42.5%

Administrators who left2

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Dec 18, 2025
Cycle 1 health score: 0
Total weighted score: 22

Operating entity

Gvnc, Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Anthony & Bryan Adams

38 facilities in 2 states. CMS chain ID 36.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.9

Ownership disclosures

Disclosures

27

Organizations

5

Individuals

22

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Nora Dvorak	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Jan 1, 2017
Steven Larson	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 16, 2025
Kathy Speaks	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Apr 1, 2022
Steven Larson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 16, 2025
John Scribner	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 28, 2024
Nora Dvorak	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2017
Anthony Adams	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 1, 2014
Bryan Adams	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 1, 2014
John Ellis	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 1, 2014
Tobey Koehler	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 1, 2014
Health Care Solutions, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2014
Incite Rehab, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2014
Ltc Systems/Rx, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2014
Pharmacy Consults, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2014
Reliance Health Care, Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2014
Benjamin Cooper	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 24, 2019
James Cooper	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 24, 2019
Robert Cooper	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 24, 2019
Nora Dvorak	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2017
John Ellis	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2014
Tobey Koehler	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2014
Steven Larson	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 16, 2025
William Mainord	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2014
Larry Mcginnis	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2014
Rita Pedigo	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2014
John Scribner	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 28, 2024
Kathy Speaks	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2022

Same chain in Arkansas

All 37 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Silver Oaks Health and Rehabilitation 1875 Old Wire Road, Camden, AR 71701 CCN 045173	104	Jun 5, 2025	18	—
Southridge Village Nursing and Rehab 400 Southridge Parkway, Heber Springs, AR 72543 CCN 045196	122	Feb 20, 2026	12	—
Chapel Woods Health and Rehabilitation 1440 East Church, Warren, AR 71671 CCN 045201	140	Apr 30, 2026	321 IJ	$8,281
The Crossing at Riverside Health and Rehabilitatio 2500 East Moore Avenue, Searcy, AR 72143 CCN 045209	138	Nov 14, 2025	9	—
Bailey Creek Health and Rehab 1621 East 42nd St, Texarkana, AR 71854 CCN 045241	74	Apr 9, 2026	19	—
Southfork River Therapy and Living 624 Hwy 62/412 West, Salem, AR 72576 CCN 045248	84	Mar 12, 2026	13	—
Oak Ridge Health and Rehabilitation 501 Hudson St, El Dorado, AR 71730 CCN 045271	180	Mar 19, 2026	181 open	$67k
Twin Lakes Therapy and Living 6152 Highway 202 East, Flippin, AR 72634 CCN 045280	80	Jun 12, 2025	342 IJ	$26k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 203 Cotter Road, Gassville, AR 72635
ZIP: 72635
County: Baxter County FIPS 05005
State: Arkansas
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Twin Lakes Therapy and Living 6152 Highway 202 East, Flippin, AR 72634 CCN 045280	10.1 km	80	Jun 12, 2025	342 IJ	$26k
Hiram Shaddox Health and Rehab 1100 Pinetree Lane, Mountain Home, AR 72653 CCN 045471	10.6 km	140	May 15, 2025	21	—
Care Manor Nursing and Rehab 804 Burnett Drive, Mountain Home, AR 72653 CCN 045351	11.1 km	104	Aug 29, 2025	18	—
Lake Forest Senior Living at Mountain Home 300 Good Samaritan Drive, Mountain Home, AR 72653 CCN 045250	13.7 km	70	Aug 20, 2025	29	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	045218	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	045218	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 045218

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction