Southfork River Therapy and Living
624 Hwy 62/412 West, Salem, AR 72576 · Fulton County · 84 certified beds · avg 63 residents/day · certified since Sep 1, 1994
Part of chain: ANTHONY & BRYAN ADAMS (38 facilities, chain avg rating 3.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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 (5)
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 |
|---|---|---|
| Mar 12, 2026 | B · Minimal risk, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Sep 8, 2023 | 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. |
| Sep 8, 2023 | E · Potential for harm, repeated | 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. |
| Sep 8, 2023 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Sep 8, 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | E |
| 2026 | 1 | 0 | B |
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) | 4.81 | 4.71 | 3.95 | top 36% in Arkansas; top 16% in the U.S. |
| Registered Nurse hours | 0.66 | 0.48 | 0.69 | top 13% in Arkansas; top 41% in the U.S. |
| Weekend total nurse staffing | 4.21 | 4.04 | 3.50 | top 29% in Arkansas; top 17% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.40 | 0.28 | 0.48 | top 18% in Arkansas; top 49% in the U.S. |
| Total nursing staff turnover (%) | 41.9 | 49.5 | 45.8 | top 27% in Arkansas; top 41% in the U.S. |
| RN turnover (%) | 55.6 | 44.8 | 42.9 | bottom 38% in Arkansas; bottom 28% 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 3.80, RN 0.52, weekend 3.33. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| 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 |
| Moore, Gavin | Individual | W-2 Managing Employee | NOT APPLICABLE | 04/12/2024 |
| Moore, Gavin | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/12/2024 |
| Scribner, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/27/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 |
|---|---|---|---|---|---|
| Ash Flat Healthcare and Rehabilitation Center | 15.4 mi | Ash Flat, AR | ★★★☆☆ | 3/5 | |
| Eaglecrest Nursing and Rehab | 15.6 mi | Ash Flat, AR | ★★★★★ | 5/5 | |
| White River Healthcare | 18.3 mi | Calico Rock, AR | ★☆☆☆☆ | 2/5 | |
| Shady Oaks Healthcare Center | 19.0 mi | Thayer, MO | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 045248.