Southfork River Therapy and Living is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #045248. The provider type is Medicare and Medicaid. The ownership type is for profit - corporation. The address is 624 Hwy 62/412 West, Salem, AR 72576. The overall rating is 3.
| Federal Provider Number | 045248 |
| Provider Name | SOUTHFORK RIVER THERAPY AND LIVING |
| Legal Business Name | SLNC, INC. |
| Address |
624 Hwy 62/412 West Salem AR 72576 |
| County | Fulton |
| Telephone | 8708953817 |
| Ownership Type | For profit - Corporation |
| Provider Type | Medicare and Medicaid |
| Date Approved | 1994-09-01 |
| Number of Certified Beds | 84 |
| Average Number of Residents per Day | 67.2 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Abuse Icon |
Y Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2. |
| Most Recent Health Inspection More Than 2 Years Ago | N |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| Quality Measure Rating | 5 |
| Long Stay Quality Measure Rating | 5 |
| Short Stay Quality Measure Rating | 5 |
| Staffing Rating | 2 |
| Registered Nurses Staffing Rating | 2 |
| Reported CNA Staffing Hours per Resident per Day | 2.28201 |
| Reported LPN Staffing Hours per Resident per Day | 1.05331 |
| Reported RN Staffing Hours per Resident per Day | 0.36461 |
| Reported Licensed Staffing Hours per Resident per Day | 1.41792 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.69993 |
| Reported Physical Therapist Staffing Hours per Resident Per Day | 0.00985 |
| Expected CNA Staffing Hours per Resident per Day | 1.95929 |
| Expected LPN Staffing Hours per Resident per Day | 0.67855 |
| Expected RN Staffing Hours per Resident per Day | 0.34755 |
| Expected Total Nurse Staffing Hours per Resident per Day | 2.98539 |
| Adjusted CNA Staffing Hours per Resident per Day | 2.39790 |
| Adjusted LPN Staffing Hours per Resident per Day | 1.15011 |
| Adjusted RN Staffing Hours per Resident per Day | 0.41984 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 3.96578 |
| Rating Cycle 1 Standard Survey Health Date | 2019-10-31 |
| Rating Cycle 1 Total Number of Health Deficiencies | 8 |
| Rating Cycle 1 Number of Standard Health Deficiencies | 2 |
| Rating Cycle 1 Number of Complavarchar Health Deficiencies | 5 |
| Rating Cycle 1 Health Deficiency Score | 68 |
| Rating Cycle 1 Number of Health Revisits | 1 |
| Rating Cycle 1 Health Revisit Score | 0 |
| Rating Cycle 1 Total Health Score | 68 |
| Rating Cycle 2 Standard Health Survey Date | 2018-10-26 |
| Rating Cycle 2 Total Number of Health Deficiencies | 5 |
| Rating Cycle 2 Number of Standard Health Deficiencies | 4 |
| Rating Cycle 2 Number of Complavarchar Health Deficiencies | 1 |
| Rating Cycle 2 Health Deficiency Score | 44 |
| Rating Cycle 2 Number of Health Revisits | 1 |
| Rating Cycle 2 Health Revisit Score | 0 |
| Rating Cycle 2 Total Health Score | 44 |
| Rating Cycle 3 Standard Health Survey Date | 2017-08-17 |
| Rating Cycle 3 Total Number of Health Deficiencies | 1 |
| Rating Cycle 3 Number of Standard Health Deficiencies | 1 |
| Rating Cycle 3 Number of Complavarchar Health Deficiencies | 0 |
| Rating Cycle 3 Health Deficiency Score | 4 |
| Rating Cycle 3 Number of Health Revisits | 1 |
| Rating Cycle 3 Health Revisit Score | 0 |
| Rating Cycle 3 Total Health Score | 4 |
| Total Weighted Health Survey Score | 49.333 |
| Number of Facility Reported Incidents | 1 |
| Number of Substantiated Complavarchars | 3 |
| Number of Citations from Infection Control Inspections | 4 |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | 9750.00 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Processing Date | 2021-05-01 |
| Notes |
CMS: Centers for Medicare & Medicaid Services CNA: Certified Nursing Assistant LPN: Licensed Practical Nurse RN: Registered Nurse |
| Role Played | Owner Name | Owner Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | EAGLE HEALTH SYSTEMS INC | Organization | 100% | since 12/03/2013 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | ADAMS, ANTHONY | Individual | 50% | since 04/01/2014 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | ADAMS, BRYAN | Individual | 50% | since 04/01/2014 |
| MANAGING EMPLOYEE | THOMAS, MINCIE | Individual | since 08/03/2020 | |
| OFFICER | ADAMS, ANTHONY | Individual | since 04/01/2014 | |
| OFFICER | ADAMS, BRYAN | Individual | since 04/01/2014 | |
| OPERATIONAL/MANAGERIAL CONTROL | THOMAS, MINCIE | Individual | since 08/03/2020 |
| Street Address |
624 HWY 62/412 WEST |
| City | SALEM |
| State | AR |
| Zip Code | 72576 |
| Nursing Home Name | Address | Telephone | Date Approved | Overall Rating |
|---|---|---|---|---|
| Doctors Nursing & Rehab Center · Helia Healthcare of Salem LLC | 1201 Hawthorn Road, Salem, IL 62881 | 6185484884 | 1972-11-22 | 3 |
| Salem Rehab Center LLC | 7 Loring Hills Avenue, Salem, MA 01970 | 9787415700 | 1994-08-02 | 4 |
| Avamere Transitional Care At Sunnyside · Sunnyside Operations LLC | 4515 Sunnyside Road Se, Salem, OR 97302 | 5033708284 | 1989-01-24 | 2 |
| Salem Springlake Health & Rehabilitation Center · Orion Salem LLC | 509 North Hayden Avenue, Salem, KY 42078 | 2709884572 | 1967-02-23 | 1 |
| Avantara Salem · Salem Sd Skilled Nursing Facility LLC | 500 Colonial Drive, Salem, SD 57058 | 6054252203 | 1991-01-01 | 4 |
| Salem Memorial District Hospital | Po Box 774, 35629 Highway 72, Salem, MO 65560 | 5737296626 | 1992-06-25 | 4 |
| Richfield Recovery & Care Center · Richfield Nursing Center | 3615 West Main Street, Salem, VA 24153 | 5403804500 | 1967-01-01 | 3 |
| Seville Care Center · Community Care Center of Salem, Inc. | 35625 Highway 72, Po Box 746, Salem, MO 65560 | 5737296141 | 1993-01-04 | 2 |
| Meadow View Health and Rehabilitation · The Health and Hospital Corporation of Marion County | 900 Anson St, Salem, IN 47167 | 8128834681 | 1988-10-13 | 4 |
| Advanced Health Care of Salem · Ahc of Salem LLC | 555 West Sr 164, Salem, UT 84653 | 8017547200 | 2017-10-19 | 5 |
| Find all nursing homes in the same city | ||||
| Nursing Home Name | Address | Telephone | Date Approved | Overall Rating |
|---|---|---|---|---|
| Twin Lakes Therapy and Living · Fpnc, Inc. | 6152 Highway 202 East, Flippin, AR 72634 | 8704534603 | 1995-05-22 | 4 |
| River's Edge Rehabilitation & Living Center · Gem Healthcare, Inc. | 714 North Butte Avenue, Emmett, ID 83617 | 2083654425 | 1970-05-01 | 4 |
| River Valley Skilled Nursing and Therapy · Clinton Nursing Center LLC | 2400 West Modelle, Clinton, OK 73601 | 5803231110 | 1993-11-01 | 3 |
| Chowan River Nursing and Rehabilitation Center · Tar River Ltc Group, LLC | 1341 Paradise Road, Edenton, NC 27932 | 2524827481 | 1977-05-01 | 4 |
| River Trace Nursing and Rehabilitation Center · Tar River Ltc Group, LLC | 250 Lovers Lane, Washington, NC 27889 | 2529751636 | 1981-10-01 | 3 |
| River City Living Community · N & R of Jefferson City LLC | 3038 West Truman Blvd, Jefferson City, MO 65109 | 5738933404 | 1992-03-01 | 2 |
| River Pointe Post-Acute · Danube River Holdings LLC | 6041 Fair Oaks Blvd, Carmichael, CA 95608 | 9164838103 | 1980-05-01 | 4 |
| Grace Skilled Nursing and Therapy Jenks · Jenks Living Centers LLC | 711 North 5th Street, Jenks, OK 74037 | 9182998508 | 1998-11-01 | 1 |
| Clinton Therapy & Living Center, LLC | 2316 Modelle, Clinton, OK 73601 | 5803230912 | 1996-07-01 | 1 |
| Harmony River Living Center · Hutchinson Senior Care Services | 1555 Sherwood Street Southeast, Hutchinson, MN 55350 | 3204846000 | 1967-03-15 | 4 |
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This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.