2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Located on West Elgin Street in Siloam Springs, Arkansas, Siloam Springs Nursing & Rehab is a 120-bed nursing and rehabilitation community owned by Helen Hoffman. Medicare, Medicaid, and private pay are accepted, giving families several ways to cover both short-term rehabilitation and long-term nursing care. Residents stay for an average of 225 days. The population is a mix of people recovering after a hospital stay and those who need ongoing skilled nursing support.
Nurse staffing averages 4 hours and 39 minutes per resident daily. Care is provided by registered nurses, nurse aides, and licensed practical nurses or licensed vocational nurses working together throughout the day. This level of hands-on care supports residents with their daily needs while providing ongoing clinical care.
State inspections have focused on clinical documentation, medication administration, physician order management, fall prevention, and facility maintenance and environmental safety. Families may want to ask during a tour how the community manages these operational and organizational areas as part of its daily operations.
The surrounding neighborhood has a Walk Score of 39, making it somewhat walkable. Some nearby services can be reached on foot, but most daily errands require transportation. The location may appeal to families who want a quieter residential setting while staying close enough for regular visits.
For families considering Siloam Springs Nursing & Rehab, an in-person tour is a good way to see the community, ask about daily programs and activities, and learn more about the care routine and overall community environment.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 87th out of 191 homes in Arkansas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 18m per day | ▼ 24% State avg: 24m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 52m per day | ▼ 9% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 43m per day | ■ Avg State avg: 2h 44m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 36m per day | ▲ 3% State avg: 3h 29m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 5m per day | ▲ 157% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 11m per day | ▼ 31% State avg: 16m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
In Arkansas, the Department of Human Services, Office of Long Term Care is authorized to conduct unannounced inspections and issue official quality of care reports for all senior living providers.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Arkansas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | AR Average | vs. AR Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 62 | 21 | This facility has 195% more total deficiencies than a typical Arkansas nursing home (62 vs. AR avg 21).↑ 195% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Arkansas average 4.2
Last Health inspection on Jan 2025
Arkansas average 21.8
Arkansas average 5.32
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
34 of 36 citations resulted from standard inspections; and 2 of 36 resulted from complaint investigations.
150% worse than Arkansas averageArkansas average: 0.4
100% better than Arkansas averageArkansas average: 0.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Arkansas average
5% better than Arkansas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 7 RN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursAssists with medical care and medications.
All 26 LPN Staff are full-time employees. No contractors work on this role.
26
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursHelps with daily care and mobility.
All 61 CNA Staff are full-time employees. No contractors work on this role.
61
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
76 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 61 | 0 | 61 | 19,390 | 92 | 100% | 8.6 |
| Licensed Practical Nurse | 26 | 0 | 26 | 6,338 | 92 | 100% | 9.6 |
| Medication Aide/Technician | 5 | 0 | 5 | 2,013 | 90 | 98% | 9.6 |
| Registered Nurse | 7 | 0 | 7 | 1,264 | 76 | 83% | 9.7 |
| Respiratory Therapy Technician | 6 | 0 | 6 | 685 | 75 | 82% | 5.5 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 646 | 67 | 73% | 8.5 |
| RN Director of Nursing | 2 | 0 | 2 | 553 | 63 | 68% | 7.5 |
| Dietitian | 1 | 0 | 1 | 524 | 61 | 66% | 8.6 |
| Nurse Practitioner | 1 | 0 | 1 | 511 | 65 | 71% | 7.9 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Physical Therapy Aide | 5 | 0 | 5 | 425 | 55 | 60% | 4.9 |
| Speech Language Pathologist | 1 | 0 | 1 | 423 | 65 | 71% | 6.5 |
| Nurse Aide in Training | 3 | 0 | 3 | 336 | 32 | 35% | 7.4 |
| Qualified Social Worker | 2 | 0 | 2 | 230 | 51 | 55% | 4.5 |
| Physical Therapy Assistant | 2 | 0 | 2 | 158 | 59 | 64% | 2.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 39 | 9 | 10% | 4.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 31 | 13 | 14% | 2.4 |
| Medical Director | 0 | 1 | 1 | 7 | 5 | 5% | 1.4 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.5
In line with Arkansas averageArkansas average: 7.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.6
17% worse than Arkansas averageArkansas average: 13.3
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
13.8%
20% worse than Arkansas averageArkansas average: 11.5%
Percent of long-stay residents whose ability to move independently worsened
12.8%
5% better than Arkansas averageArkansas average: 13.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
20.3%
34% worse than Arkansas averageArkansas average: 15.1%
Percent of long-stay residents experiencing one or more falls with major injury
0.7%
83% better than Arkansas averageArkansas average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
4.2%
12% better than Arkansas averageArkansas average: 4.7%
Percent of long-stay residents with a urinary tract infection
0.7%
46% better than Arkansas averageArkansas average: 1.3%
Percent of long-stay residents who lose too much weight
6.3%
27% worse than Arkansas averageArkansas average: 5.0%
Percent of long-stay residents who have depressive symptoms
1.1%
30% better than Arkansas averageArkansas average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
14.8%
41% worse than Arkansas averageArkansas average: 10.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.3%
5% better than Arkansas averageArkansas average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.3%
In line with Arkansas averageArkansas average: 96.2%
Number of hospitalizations per 1,000 long-stay resident days.
3.26
65% worse than Arkansas averageArkansas average: 1.97
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.89
59% better than Arkansas averageArkansas average: 2.18
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
93.4%
15% better than Arkansas averageArkansas average: 80.9%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
36% better than Arkansas averageArkansas average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
75.3%
In line with Arkansas averageArkansas average: 77.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.3%
27% better than Arkansas averageArkansas average: 25.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.6%
52% better than Arkansas averageArkansas average: 13.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Arkansas averageArkansas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
50.0%
7% worse than Arkansas averageArkansas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
26.0%
49% worse than Arkansas averageArkansas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
38% of new residents, usually for short-term rehab.
19% of new residents, often for short stays.
43% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
83Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Siloam Springs Nursing & Rehab from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #68 / 189Payroll — State benchmarkedThis home is ranked 68th out of 189 homes in Arkansas for payroll. Shows total annual staff payroll benchmarked to the Arkansas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Arkansas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #62 / 189Payroll % — State benchmarkedThis home is ranked 62nd out of 189 homes in Arkansas for payroll %. Shows payroll as a percentage of revenue versus the Arkansas average. Well-run Arkansas facilities typically land around 48–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Arkansas that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (43% of admissions), and a typical Medicaid stay runs around 9 - 10 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.7 miles from city center
Estimated distance in miles from Siloam Springs's city center to Siloam Springs Nursing & Rehab's address, calculated via Google Maps.
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Siloam Springs Nursing & Rehab is located in Siloam Springs, Arkansas.
Here are the financial assistance programs available to residents in Arkansas.
Siloam Springs Nursing & Rehab is in the Hico neighborhood of Siloam Springs.
Siloam Springs Nursing & Rehab has a walk score of 39. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Siloam Springs Nursing & Rehab's occupancy is 72.7%.
No, Siloam Springs Nursing & Rehab has a no-pet policy.
Siloam Springs Nursing & Rehab is registered as a for-profit in AR.
Yes — there is 1 photo of Siloam Springs Nursing & Rehab in the photo gallery on this page.
Siloam Springs Nursing & Rehab is located at 811 W Elgin St, Siloam Springs, AR 72761.
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