203 Cotter Road, Gassville, AR 72635 · Baxter County · (870) 435-2588
105 certified beds, about 45 residents a day · For profit - Corporation · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 045218 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on December 18, 2025, inspectors cited 0 health deficiencies (the Arkansas average is 2.7, the national average 9.2).
None of its 23 health citations since April 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.67 hours per resident per day, against 4.02 across Arkansas and 3.86 nationally. Registered nurses accounted for 0.79 of those hours.
39.6% of nursing staff left within the year CMS measured (Arkansas average 49.5%).
CMS links it to Anthony & Bryan Adams, an affiliated group of 38 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 23 health citations on file.
Inspectors wroteBased on observations, interviews, and record review, it was determined that the facility failed to ensure dignity while resident (#3) removed dental appliances (dentures), leaving them on the bedside table in between dining, with white cake-like reside adhered to dentures without an assessable denture cup or oral care. This failed practice had the potential to affect all residents who are dependent on dental appliances while maintaining dignity, self-esteem, and self-worth and maintaining proper cleaning between meals and at night.
Inspectors wroteBased on observation and interviews, the facility failed to promote a healthy, comfortable environment by allowing residents to dispose of their waste appropriately, preventing contamination of their environment, in five (Rooms 106, 401, 402, 403, and 411) resident rooms.
Inspectors wroteBased on observation, interview, and record review the facility failed to revise the care plan to have a securement device intervention in place for a catheter for 2 (Resident #9, #25) out of 2 sampled residents and failed to ensure interventions were in place for a contracture for 1 (Resident #42) out of 1 sampled resident.
Inspectors wroteBased on observations, record review, and interview, the facility left an extra treatment cart unlocked and the whirlpool next to the secure unit was left unlocked with the key inside the doorknob exposing residents to chemical hazards.
Inspectors wroteBased on observation, interview, and record review the facility failed to have a securement device in place for a catheter for 2 out of 2 sampled residents. A review of the Order Summary reveals that Resident #9 has these diagnoses hemiplegia and hemiparesis from a stroke, acute kidney disease, benign prostatic hyperplasia with urinary tract infection symptoms. Further review of foley catheter orders reveals no order for a securement device. A review of the Order Summary revealed an active order from 06/07/2024 that states Cleanse open tear to base of right side of penis with wound cleanser, or ns and pat dry. Leave open to air. every shift for wound care. A review of the Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 05/03/2024 reveals that Resident #9 scored a 2 (severe cognitive impairment) on the Brief Interview for Mental Status (BIMS). [...]
Inspectors wroteBased on record review and interview, the facility failed to ensure residents with concerns and complaints regarding call light answering times in the facility were able to have their grievances thoroughly investigated as part of the process of resident rights for 1 (Resident #15) of 01 sampled residents.
Inspectors wroteBased on observation, record review, and interview the facility failed to ensure residents who required assistance with activities of daily living were regularly provided with the necessary assistance to maintain good hygiene and grooming for one (Resident #1) of one sampled Resident.
Inspectors wroteBased on observations, record review and interview the facility failed to ensure that pureed food was processed to the correct consistency to meet the needs one (Resident #9) of one sampled resident.
Inspectors wroteBased on observation, record review, and interview the facility failed to ensure items were dated and labeled in the walk-in refrigerator, expired items were discarded, and cross contamination of food occurred during lunch service.
Inspectors wroteBased on observation and interview, the facility failed to ensure that hands were washed between clean and dirty tasks to minimize the risk of cross contamination and foods were dated when received or opened to assure first in first out usage to prevent potential for food borne illness. The failed practices had the potential to affect 42 residents who received meals from the kitchen (total census: 43) as documented on a list provided by the Dietary Supervisor on 1/25/24 at 2:16 pm.
Inspectors wroteBased on record review and interview, the facility failed to ensure the plan of care was revised to reflect the current needs of new fall interventions for 2 (Resident #3 and #4) of 4 sample mix residents. Review of Resident #3's Care plan dated 11/06/2023 documented, .High risk for falls (related to) r/t (Cardiovascular Accident) CVA with L non-dominant side hemiplegia, falls prior to admission for no apparent acute injury, determine and address causative factors of the fall; Make sure non-slip socks are on correctly; PT consult for strength and mobility. On 11/16/2023 it notes anticipate and meet the residents needs, be sure residents call light is within reach and encourage the resident to use for assistance as needed. The resident needs prompt response for all requests; [...]
Inspectors wroteBased on record review and interview, the facility failed to ensure resident assessments were completed for 3 (Resident #1, #3, and #4) sample mix residents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food items stored in the refrigerators, freezers, and dry storage area were covered, sealed, and dated when received and opened; expired or spoiled food items were discarded promptly, and the facility kitchen was deep cleaned on a regular basis to prevent the potential of food borne illness for residents who received meals from 1 of 1 kitchen. The failed practice had the potential to affect 46 residents who received meals from the kitchen (total census: 46), as documented on the diet list provided by the Administrator on 04/20/23 at 8:00 AM.
Inspectors wroteBased on interview, and record review, the facility failed to ensure Care Plans were developed for appropriate respiratory therapy interventions for 1 (Resident #27) sampled resident who resided in the facility's Special Care Neighborhood with Physician Orders for oxygen therapy; for heel protector usage for the prevention of pressure sores for 1 (Resident #44) sampled resident with Physician Orders for heel protectors; and appropriate wandering interventions for 1 (Resident #45) sampled resident who wandered. The failed practice had the potential to affect 46 residents residing in the facility who required Care Plans as documented on the Census and Conditions of Residents provided by the Administrator on 04/17/23 at 1:29 PM.
Inspectors wroteBased on observation, record review, and interview, the facility failed to provide adequate direct care staff coverage to properly supervise and provide care for residents to prevent accidents, injury, decline, and promote general health and quality of life for 3 (Residents #19, #28 and #44) of 23 (Residents #3, #6, #10, #11, #16, #18, #19, #21, #22, #23, #27, #28, #29, #30, #31, #35, #36, #38, #39, #42, #44, #45 and #49) sampled residents. This failed practice had potential to affect 46 residents as documented on the Resident Census and Conditions of Residents provided by the Administrator on 04/17/23 at 1:29 PM.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff washed and/or sanitized their hands during meal service on the Special Care Neighborhood , Secure Unit to prevent cross-contamination and failed to ensure resident's clean personal laundry was covered during transport to prevent contamination. The failed practices had the potential to affect 16 residents who resided on the Secure Unit as documented on a list by hall provided by the Administrator on 04/17/23 and 46 residents whose laundry was done by the facility as documented on the list provided by the Administrator on 04/21/23 at 8:51 AM.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents had the right to make treatment decisions and physician and therapy evaluations were provided for 1 (Resident #44) of 2 (Residents #19 and #44) sampled residents who were cognitively intact and capable of making health care decisions to prevent a decline in their health. This failed practice had the potential to affect 7 residents who had a Brief Interview for Mental Status (BIMS) cognitive score of 13 and higher as documented on a list provided by the Administrator on 04/21/23 at 7:50 am.
Inspectors wroteBased on record review, and interview, the facility failed to ensure 1 (Resident #3) was screened for a mental disorder or intellectual disability prior to admission, and failed to notify the state agency for a Pre-admission Screening and Resident Review [PASRR] for newly diagnosed mental illnesses for 1 (Resident #36) of 8 (Residents #3, #6, #27, #31, #36, #38, #39 and #45) sampled residents with serious mental health disorders to ensure the residents received appropriate mental health services. This failed practice had the potential to effect 13 residents as documented on a list of residents with serious mental health disorders provided by the Administrator on 04/21/23 at 9:15 AM.
Inspectors wroteBased on interview, and record review, the facility failed to ensure residents were provided the option, upon admission, to receive information regarding services for assistance in the community for 1 (Resident #46) of 1 sampled resident who was discharged in the last 30 days.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure evaluations were conducted for therapy or restorative services for 1 (Resident #44) of 3 (Residents #3, #31 and #44) sampled residents to prevent continued decline in Range of Motion (ROM). The failed practice had the potential to affect 4 residents who required continued therapy services to prevent decline as documented on a list provide by the Administrator on 04/21/23 at 8:27 AM.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure oxygen supplies were properly stored to prevent contamination while not in use for 1 (Resident # 27) of 3 (Residents #10, #27 and #30) sampled residents who resided on the Special Care Neighborhood Secure Unit with physician orders for oxygen therapy.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the Special Care Neighborhood/Secure Unit had sufficient and competent staffing to ensure resident safety, resident rights, and the residents individual behavioral health needs for 1 (Resident #45) of 6 (Residents #10, #27, #36, #38, #39 and #45) sampled residents with serious mental health disorders who wander as documented on the lists provided by the Administrator on 04/21/23.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure pureed food items were blended to a smooth, pudding like consistency to minimize the risk of choking or other complications for residents who required pureed diets for 1 of 1 meal observed. This failed practice had the potential to affect 2 residents who received pureed diets, as documented on a diet list provided by the Administrator on 04/20/23 at 8:00 AM.
9 fire safety citations on file: 4 on December 18, 2025, 4 on July 11, 2024, 1 on April 21, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Arkansas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.67 | 4.02 | 3.86 |
| Registered nurses | 0.79 | 0.41 | 0.69 |
| All nursing staff on weekends | 3.27 | 3.45 | 3.42 |
| Nurse aides | 2.36 | ||
| Licensed practical nurses | 0.53 | ||
| Nursing staff turnover (share who left in a year) | 39.6% | 49.5% | 45.8% |
| Registered nurse turnover | 25.0% | 44.8% | 42.9% |
| Administrators who left | 3 |
CMS expects 3.29 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.84 on weekdays and 3.27 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.78 in April to June 2025 to 3.67 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.67 | 0.79 | 3.84 | 3.27 | 0.8% | 0 of 90 | 45 |
| Oct to Dec 2025 | 3.91 | 0.81 | 4.07 | 3.50 | 0.7% | 0 of 92 | 43 |
| Jul to Sep 2025 | 3.72 | 0.79 | 3.94 | 3.18 | 0.6% | 0 of 92 | 46 |
| Apr to Jun 2025 | 3.78 | 0.65 | 3.96 | 3.34 | 0.0% | 0 of 91 | 45 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Arkansas, Jan to Mar 2026 | 4.05 | 0.40 | 4.28 | 3.47 | 2.0% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Arkansas, all employers | |||
| CNAs (nursing assistants) | $16.55 | $14.52 to $17.34 | 17,260 |
| LPNs and LVNs | $27.22 | $23.82 to $29.43 | 10,010 |
| Registered nurses | $37.95 | $32.04 to $43.40 | 29,400 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Arkansas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 5.2 | 9.5 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.1 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.2 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.6 | 10.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.7 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 2.4 | 10.9 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Gassville Therapy and Living's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (47.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
47.5% this home
No different from the national rate
US median of homes 51.5% · Arkansas: 7 better, 25 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 48 eligible stays.
10.4% this home
No different from the national rate
US median of homes 10.7% · Arkansas: 0 better, 3 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 62 eligible stays.
6.8% this home
No different from the national rate
US median of homes 7.1% · Arkansas: 0 better, 7 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 26 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Arkansas64.4% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 17 residents counted.
4.3% this home
Median of homes: Arkansas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 23 residents counted.
8.9% this home
Median of homes: Arkansas2.7% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 23 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Arkansas98.8% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 8 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: GVNC, INC.. CMS links this home to Anthony & Bryan Adams, a group of 38 nursing homes averaging 3.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Dvorak, Nora | Managing control - governing body | Individual | 01/01/2017 | |
| Larson, Steven | Managing control - governing body | Individual | 05/16/2025 | |
| Speaks, Kathy | Managing control - governing body | Individual | 04/01/2022 | |
| Dvorak, Nora | Corporate director | Individual | 01/01/2017 | |
| Adams, Anthony | Corporate officer | Individual | 04/01/2014 | |
| Adams, Bryan | Corporate officer | Individual | 04/01/2014 | |
| Ellis, John | Corporate officer | Individual | 04/01/2014 | |
| Koehler, Tobey | Corporate officer | Individual | 04/01/2014 | |
| Larson, Steven | Operational/managerial control | Individual | 05/16/2025 | |
| Scribner, John | Operational/managerial control | Individual | 08/28/2024 | |
| Health Care Solutions, LLC | Adp of the SNF | Organization | 04/01/2014 | |
| Incite Rehab, LLC | Adp of the SNF | Organization | 04/01/2014 | |
| LTC Systems/Rx, LLC | Adp of the SNF | Organization | 04/01/2014 | |
| Pharmacy Consults, LLC | Adp of the SNF | Organization | 04/01/2014 | |
| Reliance Health Care, Inc. | Adp of the SNF | Organization | 04/01/2014 | |
| Cooper, Benjamin | Adp of the SNF | Individual | 10/24/2019 | |
| Cooper, James | Adp of the SNF | Individual | 10/24/2019 | |
| Cooper, Robert | Adp of the SNF | Individual | 10/24/2019 | |
| Dvorak, Nora | Adp of the SNF | Individual | 01/01/2017 | |
| Ellis, John | Adp of the SNF | Individual | 04/01/2014 | |
| Koehler, Tobey | Adp of the SNF | Individual | 04/01/2014 | |
| Larson, Steven | Adp of the SNF | Individual | 05/16/2025 | |
| Mainord, William | Adp of the SNF | Individual | 04/01/2014 | |
| McGinnis, Larry | Adp of the SNF | Individual | 04/01/2014 | |
| Pedigo, Rita | Adp of the SNF | Individual | 04/01/2014 | |
| Scribner, John | Adp of the SNF | Individual | 08/28/2024 | |
| Speaks, Kathy | Adp of the SNF | Individual | 04/01/2022 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Arkansas. NursingHomeClear cannot take or act on complaints.