Riverside Health Services
1008 Arkansas Street, Arkoma, OK 74901 · Le Flore County · (918) 875-3107
56 certified beds, about 40 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1999
Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 375371 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 6, 2025, inspectors cited 1 health deficiency (the Oklahoma average is 6.4, the national average 9.2).
Of 14 health citations since July 2022, 3 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 2 fines totaling $89,918 in the last three years; the largest was $46,898, and the latest is dated February 27, 2026.
Nurses and nurse aides worked 5.08 hours per resident per day, against 3.79 across Oklahoma and 3.86 nationally. Registered nurses accounted for 0.42 of those hours.
58.5% of nursing staff left within the year CMS measured (Oklahoma average 55.5%).
Health inspections
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.
307/22
010/23
202/25
203/25
107/25
102/26
203/26
204/26
105/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
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 14 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
6D
5E
0F
Potential for minimal harm
0A
0B
0C
May 6, 2026Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and interview, the facility failed to report an allegation of abuse to the state agency for 1 (#1) of 3 sampled residents reviewed for abuse. The DON identified 38 residents resided in the facility.
April 29, 2026Complaint inspection · 2 citations
- E Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Inspectors wroteBased on record review and interview, the facility failed to update the facility assessment as the acuity level of resident care increased. The DON identified 36 residents resided in the facility.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, record review, and interview, the facility failed to perform pressure ulcer care in a manner to prevent infection for 1 (#3) of 5 sampled residents reviewed for pressure ulcer care. A weekly wound flow sheet, dated 04/15/26, showed 11 residents with pressure ulcers.
March 13, 2026Complaint inspection · 2 citations
- G Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on observation, record review, and interview, the facility failed to immediately notify the physician of a pressure ulcer for 1 (#1) of 3 sampled residents reviewed for a physician notification of a resident change in condition. The administrator identified 48 residents resided in the facility.
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, record review, and interview, the facility failed to prevent the development/worsening of pressure ulcers for 1 (#1) of 3 sampled residents reviewed for pressure ulcers. The ADON identified eight residents who currently had pressure ulcers.
February 27, 2026Complaint inspection · 1 citation
- E Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Inspectors wroteBased on record review and interview, the facility failed to ensure CMAs had the proper certifications to pass medications for 3 (#1, 2, and #3) of 8 sampled CMAs reviewed for certifications to pass meds via a gastrostomy tube. The DON identified 24 residents received medications through their peg tubes. An undated Medication Administration policy, read in part, medications are administered by licensed nurses, or other staff who are legally authorized to do so in this state, as ordered by the physician and in accordance with professional standards of practice.1. On [DATE], upon reviewing CMA #1's certifications, CMA #1's advanced gastrostomy certification showed to have expired on [DATE]. Resident #1's 10/2025 MAR showed CMA #1 had administered medications to Resident #1 on [DATE] through their peg tube (feeding tube into the stomach).2. [...]
July 31, 2025Complaint inspection · 1 citation
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, record review, and interview, the facility failed to update behavior care plans for 3 (#1, 2, and #4) of 3 sampled residents whose care plans were reviewed for their interventions in the management of routinely displayed inappropriate behavior. The DON identified three residents routinely displayed inappropriate behavior.
March 5, 2025Complaint inspection · 2 citations
- J Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteOn 03/03/25, an Immediate Jeopardy (IJ) situation was determined to exist related to the facility's failure to have a system in place to ensure dependent residents were repositioned every two hours to prevent new and worsening pressure ulcers. On 03/03/25 at 6:00 pm, the OSDH was notified and verified the existence of the IJ situation. On 03/03/25 at 6:15 p.m., the facility administrator and DON were notified of the IJ situation and provided a copy of the IJ template. On 03/05/25 at 10:06 a.m., an acceptable plan of removal was submitted to the OSDH. The plan of removal, read in part, 1. DON/Designee Completed 100% Care Plan Audit to ensure Interventions are in place to prevent further Skin Breakdown on 3/3/25 and 3/4/25. 2. DON/Designee In-serviced Licensed Nursing Staff on 3/3/25 regarding: Facility Policy on Turn Schedule. Repositioning Policy and Procedure. [...]
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interview, the facility failed to ensure complete and accurate documentation for 1 (#2) of 5 sampled residents reviewed for complete and accurate medical records. The DON reported the facility census was 39.
February 6, 2025Standard inspection, Complaint inspection · 2 citations
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review and interview, the facility failed to ensure a resident with a new diagnosis of a serious mental health condition had a PASARR updated for 1 (#7) of 1 sampled resident reviewed for PASARR level ll. The DON identified nine residents with serious mental health diagnoses.
- E Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on record review and interview, the facility failed to provide RN coverage for eight consecutive hours seven days per week during 2 (October 2024 and January 2025) of 4 months reviewed for having RN coverage for eight consecutive hours seven days per week. The administrator identified 40 residents resided in the facility.
October 26, 2023Standard inspection · 0 citations
July 14, 2022Standard inspection · 3 citations
- E Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on record review and interview, the facility failed to ensure nurse aides demonstrated competency in skills and techniques necessary to care for resident needs. The Administrator reported 30 residents resided in the facility.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on record review and interview, the facility failed to provide an advanced beneficiary notice (ABN), describing charges for covered and non-covered services, for three (#31, #12, and #22) of three residents reviewed for Skilled Nursing Facility Advance Beneficiary Notice. The Administrator reported five residents were discharged from skilled services in the past six months.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on record review, observation, and interview, the facility failed to maintain a sanitary ice machine for storage of ice. The Administrator reported 30 residents resided in the facility.
Fire safety inspections
8 fire safety citations on file: 3 on February 6, 2025, 5 on July 14, 2022.
Every fire safety citation8 citations
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E Have power receptacles that are properly grounded.
- F Conduct testing and exercise requirements.
- E Provide properly protected cooking facilities.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Have an externally vented heating system.
- C Install emergency lighting that can last at least 1 1/2 hours.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 27, 2026 | Fine | $46,898 |
| February 6, 2025 | Fine | $43,020 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
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 | Oklahoma | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.08 | 3.79 | 3.86 |
| Registered nurses | 0.42 | 0.34 | 0.69 |
| All nursing staff on weekends | 4.50 | 3.44 | 3.42 |
| Nurse aides | 3.38 | ||
| Licensed practical nurses | 1.28 | ||
| Nursing staff turnover (share who left in a year) | 58.5% | 55.5% | 45.8% |
| Registered nurse turnover | 87.5% | 53.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 6.41 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
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 5.32 on weekdays and 4.50 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.74 in April to June 2025 to 5.08 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 | 5.08 | 0.42 | 5.32 | 4.50 | 0.0% | 0 of 90 | 40 |
| Oct to Dec 2025 | 5.09 | 0.31 | 5.35 | 4.41 | 0.0% | 0 of 92 | 40 |
| Jul to Sep 2025 | 6.00 | 0.33 | 6.37 | 5.06 | 0.0% | 8 of 92 | 35 |
| Apr to Jun 2025 | 4.74 | 0.18 | 4.78 | 4.64 | 0.0% | 23 of 91 | 36 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Oklahoma, Jan to Mar 2026 | 3.79 | 0.32 | 3.94 | 3.42 | 2.2% | 1.6% 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
Staff pay at this home
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.
Official wage estimates for Oklahoma
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Oklahoma, all employers | |||
| CNAs (nursing assistants) | $17.27 | $15.82 to $18.39 | 19,410 |
| LPNs and LVNs | $28.04 | $24.06 to $29.84 | 11,540 |
| Registered nurses | $39.87 | $37.19 to $47.55 | 38,270 |
| 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Oklahoma | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 6.7 | 13.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.2 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 5.4 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 4.7 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.8 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.7 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.6 | 17.5 | 15.4 |
Owners and operators
Legal business name: RIVERSIDE HEALTH SERVICES LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Riverside Health Services LLC | 5% or greater direct ownership interest | Organization | 08/18/2016 | |
| Riverside Property Holdings | 5% or greater direct ownership interest | Organization | 01/01/2025 | |
| Rogers, John | 5% or greater indirect ownership interest | Individual | 50% | 09/01/2024 |
| Rogers, Justin | 5% or greater indirect ownership interest | Individual | 50% | 08/15/2016 |
| Riverside Health Services LLC | 5% or greater security interest | Organization | 08/18/2016 | |
| Rogers, John | Operational/managerial control | Individual | 09/01/2024 | |
| Riverside Property Holdings | Adp of the SNF | Organization | 01/01/2020 | |
| Cheek, Bennie | Adp of the SNF | Individual | 09/15/2025 | |
| Hightower, Gary | Adp of the SNF | Individual | 01/01/2025 | |
| Rogers, Justin | Adp of the SNF | Individual | 09/01/2024 |
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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on April 29, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 3 problems in this area, most recently on February 27, 2026: "Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on July 31, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on March 13, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
Other nursing homes nearby
- The Blossoms at Fort Smith Rehab & Nursing Center Fort Smith, 1.4 mi · 1 of 5 stars · 30 citations
- Covington Court Health and Rehabilitation Center Fort Smith, 2.5 mi · 5 of 5 stars · 19 citations
- Chapel Ridge Health and Rehab Fort Smith, 3.1 mi · 4 of 5 stars · 18 citations
- Fianna Hills Nursing and Rehabilitation Center Fort Smith, 3.8 mi · 3 of 5 stars · 19 citations
- Brooken Hill Health and Rehab, LLC Fort Smith, 4.6 mi · 3 of 5 stars · 9 citations
- Methodist Health and Rehab Fort Smith, 4.7 mi · 3 of 5 stars · 17 citations
- Legacy Health and Rehabilitation Center Fort Smith, 5.1 mi · 2 of 5 stars · 34 citations
- Sequoyah East Nursing Center, LLC Roland, 5.2 mi · 1 of 5 stars · 54 citations
Oklahoma contacts for a concern about a nursing home
These are the official offices in Oklahoma. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Oklahoma State Department of Health, Long Term Care Service, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Oklahoma Long-Term Care Ombudsman, Office of the Attorney General, 1-800-211-2116. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: OSDH Long Term Care Surveys search, where Oklahoma publishes its own records on licensed homes.
Common questions
- What is Riverside Health Services's Medicare star rating?
- CMS rates Riverside Health Services 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Riverside Health Services get at its last inspection?
- 1 health deficiency at the standard inspection on February 6, 2025. The Oklahoma average is 6.4.
- Has Riverside Health Services been fined?
- Yes. CMS lists 2 fines totaling $89,918 in the last three years.
- Does Riverside Health Services accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Riverside Health Services?
- CMS lists 10 owners and managers. Legal business name: RIVERSIDE HEALTH SERVICES LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.