Gassville, AR

Gassville Therapy And Living

5-star overall rating with 4-star inspections with 4 fire-safety deficiencies in the latest cycle

203 Cotter Road, Gassville, AR

(870) 435-2588

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

105

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Anthony & Bryan Adams

Operator or chain grouping

Approved since

1993-11-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

38 facilities

Chain averages 4 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.79

Registered nurse staffing · state 0.40 · national 0.68

LPN hours / resident day

0.64

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.30

Nurse aide staffing · state 2.72 · national 2.35

Total nurse hours

3.72

All reported nurse hours · state 4.07 · national 3.89

Licensed hours

1.43

RN + LPN hours · state 1.35 · national 1.54

Weekend hours

3.18

Weekend nurse staffing · state 3.48 · national 3.43

Weekend RN hours

0.52

Weekend registered nurse coverage · state 0.27 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.03 · national 0.07

Adjusted RN hours

0.90

CMS adjusted RN staffing hours

Adjusted total hours

4.24

CMS adjusted total nurse staffing hours

Case-mix index

1.20

Higher values indicate more complex resident acuity

RN turnover

33%

Annual RN turnover · state 48% · national 45%

Total nurse turnover

43%

Annual nurse turnover · state 51% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,629

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

39.18

Composite VBP score used to determine payment impact.

Payment multiplier

0.9922

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

3.48

Baseline 8.00% · Performance 6.81% · Measure score 3.48 · Achievement 3.44 · Improvement 3.48

Total nurse turnover

5.01

Baseline 51.92% · Performance 43.18% · Measure score 5.01 · Achievement 5.01 · Improvement 2.73

Adjusted total nurse staffing

3.26

Baseline 3.80 hours · Performance 4.01 hours · Measure score 3.26 · Achievement 3.26 · Improvement 0.53

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.37%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 62 · Observed rate 8.06% · Lower 95% interval 6.89%
Discharge to community	47.47%	50.57% 3.1 pts worse	No Different than the National Rate · Eligible stays 48 · Observed rate 43.75% · Lower 95% interval 34.4%
Medicare spending per beneficiary	0.78	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 31 · Denominator 31
Falls with major injury	6.45%	0.77% 5.7 pts worse	Numerator 2 · Denominator 31
Discharge self-care score	45.83%	53.69% 7.9 pts worse	Numerator 11 · Denominator 24
Discharge mobility score	54.17%	50.94% 3.2 pts better	Numerator 13 · Denominator 24
Pressure ulcers or injuries, new or worsened	6.45%	2.29% 4.2 pts worse	Numerator 2 · Denominator 31 · Adjusted rate 6.83%
Healthcare-associated infections requiring hospitalization	6.81%	7.12% 0.3 pts better	No Different than the National Rate · Eligible stays 26 · Observed rate 3.85% · Lower 95% interval 3.63%
Staff COVID-19 vaccination coverage	7.94%	8.2% 0.3 pts worse	Numerator 5 · Denominator 63
Staff flu vaccination coverage	90.36%	42% 48.4 pts better	Numerator 75 · Denominator 83
Discharge function score	54.17%	56.45% 2.3 pts worse	Numerator 13 · Denominator 24
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.0	2.0 1 pts better	1.9 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.8	2.2 0.4 pts better	1.8 About the same	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.6 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.4%	94.9% 4.5 pts better	93.4% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.7% · Q3 100.0% · Q4 100.0% · 4Q avg 99.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.8%	96.1% 1.7 pts better	95.5% 2.3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.8%
Percentage of long-stay residents experiencing one or more falls with major injury	4.2%	3.9% 0.3 pts worse	3.3% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 7.0% · Q3 2.3% · Q4 2.3% · 4Q avg 4.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	1.4% 1.4 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	6.6%	4.9% 1.7 pts worse	5.4% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 5.1% · Q3 5.1% · Q4 8.1% · 4Q avg 6.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	8.6%	21.8% 13.2 pts better	19.6% 11 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 5.0% · Q3 10.3% · Q4 8.1% · 4Q avg 8.6%
Percentage of long-stay residents who received an antipsychotic medication	4.7%	12.5% 7.8 pts better	16.7% 12 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 6.2% · Q3 3.0% · Q4 3.0% · 4Q avg 4.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	6.6%	11.4% 4.8 pts better	16.3% 9.7 pts better	Long Stay · 2024Q4-2025Q3 · Q3 4.3% · 4Q avg 6.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.2%	10.4% 4.2 pts better	14.9% 8.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 5.3% · Q3 2.6% · Q4 5.6% · 4Q avg 6.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.6%	0.7% 0.1 pts better	1.0% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.1% 1.1 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	11.0%	14.6% 3.6 pts better	19.8% 8.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 5.4% · Q3 7.4% · Q4 11.0% · 4Q avg 11.0%
Percentage of long-stay residents with pressure ulcers	4.1%	4.6% 0.5 pts better	5.1% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 5.0% · Q3 5.3% · Q4 0.0% · 4Q avg 4.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	81.5%	81.8% 0.3 pts worse	81.7% 0.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 82.9% · Q2 76.9% · Q3 84.6% · Q4 81.2% · 4Q avg 81.5%
Percentage of short-stay residents who had an outpatient emergency department visit	4.4%	13.8% 9.4 pts better	12.0% 7.6 pts better	Short Stay · 20240701-20250630 · Adjusted 4.4% · Observed 4.2% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.4% 1.4 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	85.2%	77.9% 7.3 pts better	79.7% 5.5 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 85.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	46.8%	25.2% 21.6 pts worse	23.9% 22.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 46.8% · Observed 33.3% · Expected 17.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-18 · Fire 2025-12-18

0 health deficiencies

No concentrated health issue counts in this cycle.

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-07-11 · Fire 2024-07-11

9 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

4 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 3 Health 2023-04-21 · Fire 2023-04-21

17 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-18

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2026-01-16

F · Potential for more than minimal harm 2025-12-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-12-22

F · Potential for more than minimal harm 2025-12-18

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-12-19

E · Potential for more than minimal harm 2025-12-18

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-12-18

F · Potential for more than minimal harm 2024-07-11

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2024-08-09

F · Potential for more than minimal harm 2024-07-11

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2024-08-09

F · Potential for more than minimal harm 2024-07-11

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-08-09

F · Potential for more than minimal harm 2024-07-11

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-08-09

F · Potential for more than minimal harm 2023-04-21

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-05-21

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-11-19

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2024-12-19

E · Potential for more than minimal harm 2024-11-19

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-12-19

E · Potential for more than minimal harm 2024-07-11

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-08-09

E · Potential for more than minimal harm 2024-07-11

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-09

E · Potential for more than minimal harm 2024-07-11

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-07-11

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-07-11

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-07-11

F805 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-08-09

D · Potential for more than minimal harm 2024-07-11

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-08-09

F · Potential for more than minimal harm 2024-01-25

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-02-21

E · Potential for more than minimal harm 2023-12-07

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-01-06

E · Potential for more than minimal harm 2023-12-07

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-06

E · Potential for more than minimal harm 2023-06-13

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-07-11

E · Potential for more than minimal harm 2023-06-13

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-07-11

D · Potential for more than minimal harm 2023-06-13

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2023-07-11

F · Potential for more than minimal harm 2023-04-21

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-05-21

E · Potential for more than minimal harm 2023-04-21

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-05-21

E · Potential for more than minimal harm 2023-04-21

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-05-21

E · Potential for more than minimal harm 2023-04-21