Gassville Therapy And Living

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

47.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 48 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.09 therapist hours per resident per day in 2026Q1 — more than 5% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 105 beds and averages 45.4 residents a day — about 43% occupied, or roughly 60 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.67 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.79 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.36 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.27 hrs/resident/day on weekends vs 3.84 on weekdays — 15% thinner on weekends. RN hours go from 0.92 to 0.46 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 40% is about the same as the national median of 45%. 3 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

• Potential for harm · E2024-11-19 · tag F0557 — pattern
  Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based 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. Findings include: Review of Resident #3 ' s admission Record revealed diagnoses of coronary obstruction pulmonary disease, congestion heart failure, muscle wasting and atrophy, abnormality of gait and mobility, non-pressure ulcer of left lower leg, and peripheral vascular disease. The Minimum Data Set (MDS)-Version 3.0, dated 09/23/2024, under section titled Cognitive Patterns listed a Brief Interview for Mental Status (BIMS) with a summary score of fourteen (14), a score of 13 to 15 indicating the resident is cognitively intact. In addition, the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-11-19 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based 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. The findings are: 1. On 11/18/2024 at 11:45 AM, as environmental rounds were made in the facility, the following were observed: a. Upon entering room [ROOM NUMBER], toward the right of the room, past the bathroom, the wall trim and door trim before entering the bathroom, had discolored darkish black gouges, deep scratches, and cuts in the sheetrock and wood. b. Upon entering room [ROOM NUMBER], toward the right side of the room, a red isolation bag was observed stacked up against the bathroom sink against another unemptied trash can was obstructing the wall sink and an additional overflowing carboard box container was present. In addition, on 11/19/24, during environmental rounds at 1:00 PM, the trash receptacles remained unemptied. c. During a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-07-11 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based 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. The findings are: 1. A review of the Order Summary revealed Resident #9 had diagnoses of hemiplegia and hemiparesis from a stroke, acute kidney disease, and benign prostatic hyperplasia with urinary tract infection symptoms. Further review of indwelling catheter orders revealed 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 [normal saline] 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 revealed that Resident #9 scored a 2 (severe cognitive impairment) on the Brief Interview for Mental Status (BIMS). A review…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-07-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based 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. The finding are: 1. On 07/08/2024 at 9:40 PM, the surveyor observed a key left in the doorknob of a shower room next to the secure unit. Upon entry the top of the tub had a bottle of lotion, a can of shaving cream, a bottle of body wash, a pink bar of soap, and a half full container of gel. Next to the tub is a bag of dirty linen tied off with dirty gloves resting on top of it. To the right is a small three tiered metal rack with two hair dryers plugged in, and one curling iron unplugged. Next to the metal rack is a three-tiered black plastic shelf the top shelf contains spray deodorant, roll-on deodorant, body wash and shampoo 16 ounces, lotion, a pump bottle of body wash, a medicine cup containing white cream, and a container of cleaning clothes with the lid left opened. Across…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-07-11 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — pattern
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based 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). A review of the Care Plan reveals that foley catheter interventions are in place but none for a securement device in place, it states Goal: will be free/remain from catheter-related trauma through review date. On…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-11 · tag F0585 — failed to handle grievances — isolated
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based 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. The findings are: 1. Review of the Order Summary Report indicated Resident #15 had diagnoses of muscular dystrophy and benign prostatic hyperplasia. a. The Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 07/01/2024 indicated a score of 15 (indicates cognitively intact) on the Brief Interview for Mental Status (BIMS). b. On 07/08/2024 at 2:08 PM, the Surveyor interviewed Resident #15 and asked, Do staff answer your call light timely? Resident #15 stated, This girl, her boyfriend is the nurse, an LPN, he lets her get away with things. She wants someone else to come take care of the residents, and she even says no, and he allows her to get away with that. The day of the incident he came in and I told him my bed is wet and I'm wet and need changed. He told…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-11 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based 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. The findings are A review of the Order Summary reveals Resident #1 had diagnoses of dementia, recurrent depressive disorder, and osteoarthritis. A review of the Annual Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 04/18/2024 revealed that Resident #1 scored an 8 (moderate cognitive impairment) on the Brief Interview for Mental Status (BIMS). According to Section GG Resident #1 is coded as Dependent for Shower/Bathe Self. A review of the Care Plan for Resident #1 revealed Focus: has an ADL self-care performance deficit r/t (related to) functional limitation. Interventions/Tasks: BATHING/SHOWERING: The resident is dependent with showering at least twice weekly and as necessary. On 07/08/2024 at 12:30 PM, Resident #1 stated they have not been shaved for over a week, then stated it is…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-07-11 · tag F0805 — failed to prepare food in a form residents can eat — isolated
  Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based 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. The findings are: A review of the Order Summary revealed Resident #9 had a diagnosis hemiplegia and hemiparesis from a stroke. A review of the Order Summary revealed Resident #9 had an active order as of 06/24/2024 for consistent carbohydrate, pureed texture diet, honey consistency, for nutrition. A review of the Care Plan for Resident #9 revealed Focus: Resident# 9 has an Activity of Daily Living (ADL) self-care performance deficit r/t right side hemiplegia and hemiparesis; Intervention: Eating .The resident is dependent x1 staff for meal consumption. On 07/09/2024 at 11:34 AM, Dietary [NAME] #5 added 2 scoops of polish sausage to the food processor. The Dietary [NAME] then added 2 ounces of gravy and ran the food processor. Surveyor observed the texture was gritty with small sausage pieces in the puree. Dietary [NAME] stated that it was of a pudding like consistency. On 07/09/2024 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-07-11 · tag F0812 — failed to store, cook, and serve food safely — isolated
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based 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. The findings are: On 07/08/2024 at 11:28 AM, the following items were observed in the facility kitchen: 1. a pint of lime juice, expired 06/09/2024, confirmed by the Dietary Manager. 2. half a bag of purple cabbage, expired on 06/17/2024, confirmed by the Dietary Manager. 3. full bag of green leaf romaine lettuce full bag with no date, confirmed by the Dietary Manager. On 07/09/2024 at 12:56 PM, the surveyor observed during lunch service the pureed vegetable scoop, and the pureed bean scoop were placed in the puree sausage steam table bin. The Dietary [NAME] took the original scoop for the sausage around the steam table bin rattling the other scoops, before plating it for the puree tray. On 07/09/2024 at 1:06 PM, the surveyor observed during lunch service, Dietary [NAME] #5 plated the red beans and rice and sausage in a scoop plate, scooped zucchini and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-01-25 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based 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. The findings are: On 1/25/24 at 11:18 am, the following items were observed in the dry storage area without a received on date: 1. 2 bags of 32 ounces toasted oats cereal bags. 2. 1 large box with bags of penne rigate pasta. On 1/25/24 at 11:37 am, the following items were observed in the walk-in refrigerator without a received on date: 1. 1 large box of multiple blocks of margarine 2. 1 5-pound bag of mozzarella shredded cheese. On 1/25/24 at 11:41 am, the following items were found with no open date: 1. 1 plastic tub of individual sugar packets. 2. 1 plastic tub of individual sweet n low packets. On…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to ANTHONY & BRYAN ADAMS — 38 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 27 rows in the source record cover these 19 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

5 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 72% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $639K paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in AR