Federal inspection record · CMS data as of October 1, 2026
Gassville Therapy And Living
203 Cotter Road, Gassville, AR · (870) 435-2588
- Certified beds
- 105
- Residents per day
- 48
- Ownership
- For-Profit
- Chain
- Anthony & Bryan Adams
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 1, 1993
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Arkansas.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Arkansas homes
Gassville Therapy And Living carries 22 inspection points. That is fewer than 55% of Arkansas's 218 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Arkansas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–18 pts
- 3★ 18–29 pts
- 2★ 29–44 pts
- 1★ over 44 pts
Bars show every rated home in Arkansas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
23 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care7E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Resident Assessment and Care Planning5E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Plan the resident's discharge to meet the resident's goals and needs.
Nutrition and Dietary5F
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Resident Rights3E
- E
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
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.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
Environmental1E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Nursing and Physician Services1E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Inspection history
2025-12-18
0 health deficiencies · 4 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-07-11
9 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-04-21
14 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 45 min of nursing staff time a day, 52 min of it from a registered nurse.
This home
3 h 45 min
Arkansas average
4 h 5 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 36% of nursing staff and 0% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.4 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.5 pts better | 0.5 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.7 pts better | 98.8% | 95.1% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.3 pts better | 97.6% | 95.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts worse | 5.4% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.4 pts better | 0.0% | 1.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.7 pts worse | 6.8% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.8 pts better | 17.0% | 21.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.4 pts better | 2.5% | 10.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.2 pts better | 9.0% | 9.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2 pts better | 7.1% | 9.1% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts worse | 1.0% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.7 pts worse | 13.6% | 12.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts better | 2.3% | 4.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.6 pts worse | 80.3% | 81.9% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.9 pts better | 77.8% | 75.9% | 80.1% |
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Who owns and runs it
27 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Adams, Anthony | Corporate Officer · Individual | 0% | 39 facilities |
| Adams, Bryan | Corporate Officer · Individual | 0% | 39 facilities |
| Cooper, Benjamin | Adp Of The SNF · Individual | 0% | 10 facilities |
| Cooper, James | Adp Of The SNF · Individual | 0% | 10 facilities |
| Cooper, Robert | Adp Of The SNF · Individual | 0% | 12 facilities |
| Dvorak, Nora | Managing Control - Governing Body · Individual | 0% | 10 facilities |
| Dvorak, Nora | Corporate Director · Individual | 0% | 10 facilities |
| Dvorak, Nora | Adp Of The SNF · Individual | 0% | 10 facilities |
| Ellis, John | Corporate Officer · Individual | 0% | 35 facilities |
| Ellis, John | Adp Of The SNF · Individual | 0% | 35 facilities |
| Health Care Solutions, LLC | Adp Of The SNF · Organization | 0% | 10 facilities |
| Incite Rehab, LLC | Adp Of The SNF · Organization | 0% | 19 facilities |
| Koehler, Tobey | Corporate Officer · Individual | 0% | 33 facilities |
| Koehler, Tobey | Adp Of The SNF · Individual | 0% | 33 facilities |
| Larson, Steven | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Larson, Steven | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Larson, Steven | Adp Of The SNF · Individual | 0% | 2 facilities |
| Ltc Systems/Rx, LLC | Adp Of The SNF · Organization | 0% | 33 facilities |
| Mainord, William | Adp Of The SNF · Individual | 0% | 19 facilities |
| Mcginnis, Larry | Adp Of The SNF · Individual | 0% | 38 facilities |
| Pedigo, Rita | Adp Of The SNF · Individual | 0% | 19 facilities |
| Pharmacy Consults, LLC | Adp Of The SNF · Organization | 0% | 37 facilities |
| Reliance Health Care, Inc. | Adp Of The SNF · Organization | 0% | 33 facilities |
| Scribner, John | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Scribner, John | Adp Of The SNF · Individual | 0% | 7 facilities |
| Speaks, Kathy | Managing Control - Governing Body · Individual | 0% | 5 facilities |
| Speaks, Kathy | Adp Of The SNF · Individual | 0% | 5 facilities |
·
Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Install an approved automatic sprinkler system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Properly provide smoke detection systems in areas open to corridors.
Emergency Preparedness4F
- F
Create arrangements with other facilities to receive patients.
- F
Establish roles under a Waiver declared by secretary.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Egress1E
- E
Have properly located and lighted "Exit" signs.
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Other homes nearby
-
Twin Lakes Therapy And Living
Flippin, AR · Anthony & Bryan Adams
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 9 min
- Fines
- $25,678
-
Hiram Shaddox Health And Rehab
Mountain Home, AR · Anthony & Bryan Adams
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 12 min
- Fines
- $0
-
Care Manor Nursing And Rehab
Mountain Home, AR · Anthony & Bryan Adams
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 42 min
- Fines
- $0