Southfork River Therapy and Living
624 Hwy 62/412 West, Salem, AR 72576 · Fulton County · (870) 895-3817
84 certified beds, about 63 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1994
CMS Care Compare ratings, data as of September 1, 2026 · CCN 045248 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 12, 2026, inspectors cited 1 health deficiency (the Arkansas average is 2.7, the national average 9.2).
None of its 5 health citations since September 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 3.80 hours per resident per day, against 4.02 across Arkansas and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.
41.9% 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.
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.
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 5 health citations on file.
March 12, 2026Standard inspection · 1 citation
- B Ensure each resident receives an accurate assessment.
Inspectors wroteNumber of residents sampled:22Number of residents cited:2Based on record review and interviews the facility failed to ensure the Minimum Data Set (MDS) assessment was accurately completed for two (Resident #2 and Resident #29) of 22 residents reviewed for MDS accuracy. Specifically, the facility failed to ensure information regarding the resident's pain medication regimen was accurately completed for Resident #2 and failed to ensure information regarding nutritional approaches was accurately completed for Resident #29.
August 15, 2024Standard inspection · 0 citations
September 8, 2023Standard inspection · 4 citations
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure potentially hazardous chemicals and hygiene products were stored in a secure location on 1 (200 Hall) of 3 (200 Hall, 300 Hall, and 400 Hall) halls to prevent potential access of hazardous items by cognitively impaired residents who ambulate by any means.
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a Physicians Order was obtained for CPAP (Continuous Positive Airway Pressure) usage for 1 (Resident #63) of 1 sampled resident who used a CPAP.
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure drugs and biologicals contained a pharmacy label, contained a date opened, and expired medications were removed from the medication cart for 1 or 1 medication room and 2 of 3 medication carts on 2 (100 Hall and 300 Hall).
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation and interview, the facility failed to ensure staff followed the appropriate use of gloves during medication administration to prevent potential cross contamination for 1 (Resident #5) of 1 sampled resident. This failed practice had the potential to affect 27 residents who resided on the 200 Hall and shared staff with Resident #5.
Fire safety inspections
8 fire safety citations on file: 2 on March 12, 2026, 2 on August 15, 2024, 4 on September 8, 2023.
Every fire safety citation8 citations
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Provide properly protected cooking facilities.
- F Properly provide smoke detection systems in areas open to corridors.
- F Ensure proper usage of power strips and extension cords.
- F Have an alternate power supply for its alarm system.
- F Have simulated fire drills held at unexpected times.
- E Provide properly protected cooking facilities.
- E Properly provide smoke detection systems in areas open to corridors.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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 | Arkansas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.80 | 4.02 | 3.86 |
| Registered nurses | 0.52 | 0.41 | 0.69 |
| All nursing staff on weekends | 3.33 | 3.45 | 3.42 |
| Nurse aides | 2.37 | ||
| Licensed practical nurses | 0.91 | ||
| Nursing staff turnover (share who left in a year) | 41.9% | 49.5% | 45.8% |
| Registered nurse turnover | 55.6% | 44.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.03 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 3.99 on weekdays and 3.33 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.84 in April to June 2025 to 3.80 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 | 3.80 | 0.52 | 3.99 | 3.33 | 0.5% | 0 of 90 | 63 |
| Oct to Dec 2025 | 3.69 | 0.33 | 3.87 | 3.22 | 0.4% | 0 of 92 | 65 |
| Jul to Sep 2025 | 3.76 | 0.33 | 3.91 | 3.36 | 0.3% | 0 of 92 | 66 |
| Apr to Jun 2025 | 3.84 | 0.34 | 4.03 | 3.36 | 0.0% | 0 of 91 | 62 |
| 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.
Quality measures
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 | 5.9 | 9.5 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.3 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 5.3 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.8 | 10.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.5 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.9 | 10.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 33.1 | 24.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.5 | 12.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 2.1 | 1.8 |
Owners and operators
Legal business name: SLNC, 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 |
|---|---|---|---|---|
| Moore, Gavin | W-2 managing employee | Individual | 04/12/2024 | |
| Adams, Anthony | Corporate officer | Individual | 04/01/2014 | |
| Adams, Bryan | Corporate officer | Individual | 04/01/2014 | |
| Moore, Gavin | Operational/managerial control | Individual | 04/12/2024 | |
| Scribner, John | Operational/managerial control | Individual | 08/27/2024 |
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 2 problems in this area, most recently on September 8, 2023: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on March 12, 2026: "Ensure each resident receives an accurate assessment."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on September 8, 2023: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on September 8, 2023: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.33 hours per resident per day, below the Arkansas average of 3.45.
Other nursing homes nearby
- Ash Flat Healthcare and Rehabilitation Center Ash Flat, 15.4 mi · 3 of 5 stars · 17 citations
- Eaglecrest Nursing and Rehab Ash Flat, 15.6 mi · 5 of 5 stars · 8 citations
- White River Healthcare Calico Rock, 18.3 mi · 1 of 5 stars · 13 citations
- Shady Oaks Healthcare Center Thayer, 19 mi · 5 of 5 stars · 13 citations
- Pioneer Therapy and Living Melbourne, 21.6 mi · 5 of 5 stars · 10 citations
Arkansas contacts for a concern about a nursing home
These are the official offices in Arkansas. NursingHomeClear cannot take or act on complaints.
- Resident advocate: Arkansas Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Southfork River Therapy and Living's Medicare star rating?
- CMS rates Southfork River Therapy and Living 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Southfork River Therapy and Living get at its last inspection?
- 1 health deficiency at the standard inspection on March 12, 2026. The Arkansas average is 2.7.
- Has Southfork River Therapy and Living been fined?
- CMS lists no fines in the last three years.
- Does Southfork River Therapy and Living 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 Southfork River Therapy and Living?
- CMS lists 5 owners and managers, and links the home to Anthony & Bryan Adams. Legal business name: SLNC, INC..
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.