Gassville Therapy and Living
203 Cotter Road, Gassville, AR 72635 · Baxter County · 105 certified beds · avg 45 residents/day · certified since Nov 1, 1993
Part of chain: ANTHONY & BRYAN ADAMS (38 facilities, chain avg rating 3.8★)
3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
4.28
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (23)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 19, 2024 | E · Potential for harm, repeated | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint |
| Nov 19, 2024 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| Jul 11, 2024 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jul 11, 2024 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jul 11, 2024 | E · Potential for harm, repeated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jul 11, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Jul 11, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jul 11, 2024 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Jul 11, 2024 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 25, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Dec 7, 2023 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Dec 7, 2023 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Apr 21, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 21, 2023 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Apr 21, 2023 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Apr 21, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 21, 2023 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Apr 21, 2023 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Apr 21, 2023 | D · Potential for harm, one-off | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. |
| Apr 21, 2023 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Apr 21, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Apr 21, 2023 | D · Potential for harm, one-off | The facility did not have enough staff with the right skills to meet the mental and behavioral health needs of its residents, such as those living with dementia or depression. |
| Apr 21, 2023 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 13 | 0 | F |
| 2024 | 10 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Arkansas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.28 | 4.71 | 3.95 | bottom 28% in Arkansas; top 30% in the U.S. |
| Registered Nurse hours | 0.92 | 0.48 | 0.69 | top 4% in Arkansas; top 20% in the U.S. |
| Weekend total nurse staffing | 3.82 | 4.04 | 3.50 | bottom 39% in Arkansas; top 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.46 | 0.28 | 0.48 | top 10% in Arkansas; top 38% in the U.S. |
| Total nursing staff turnover (%) | 39.6 | 49.5 | 45.8 | top 20% in Arkansas; top 35% in the U.S. |
| RN turnover (%) | 25.0 | 44.8 | 42.9 | top 20% in Arkansas; top 20% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.67, RN 0.79, weekend 3.27. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Adams, Anthony | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2014 |
| Adams, Bryan | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2014 |
| Cooper, Benjamin | Individual | ADP of the SNF | NOT APPLICABLE | 10/24/2019 |
| Cooper, James | Individual | ADP of the SNF | NOT APPLICABLE | 10/24/2019 |
| Cooper, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 10/24/2019 |
| Dvorak, Nora | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2017 |
| Dvorak, Nora | Individual | Corporate Director | NOT APPLICABLE | 01/01/2017 |
| Dvorak, Nora | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2017 |
| Ellis, John | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2014 |
| Ellis, John | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2014 |
| Health Care Solutions, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2014 |
| Incite Rehab, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2014 |
| Koehler, Tobey | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2014 |
| Koehler, Tobey | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2014 |
| Larson, Steven | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/16/2025 |
| Larson, Steven | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/16/2025 |
| Larson, Steven | Individual | ADP of the SNF | NOT APPLICABLE | 05/16/2025 |
| LTC Systems/Rx, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2014 |
| Mainord, William | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2014 |
| McGinnis, Larry | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2014 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Twin Lakes Therapy and Living | 6.3 mi | Flippin, AR | ★★☆☆☆ | 1/5 | |
| Hiram Shaddox Health and Rehab | 6.6 mi | Mountain Home, AR | ★★★★☆ | 4/5 | |
| Care Manor Nursing and Rehab | 6.9 mi | Mountain Home, AR | ★★★★★ | 4/5 | |
| Lake Forest Senior Living at Mountain Home | 8.5 mi | Mountain Home, AR | ★★★☆☆ | 3/5 | |
| Creekside at the Springs | 11.0 mi | Yellville, AR | ★★★☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 045218.