Southfork River Therapy and Living
Nursing Home, Memory Care & Respite Care · Salem, AR
CMS overall rating Info 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.

Southfork River Therapy and Living

Nursing Home, Memory Care & Respite Care · Salem, AR
CMS overall rating Info 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.
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Southfork River Therapy and Living accepts Medicare, Medicaid, and private pay.

Overview of Southfork River Therapy and Living

Gavin Moore owns Southfork River Therapy and Living, an 84-bed care facility that has been run by SLNC, Inc. for 18 years. The building maintains an 87 percent occupancy rate, and residents typically stay for an average of 253 days. This timeline indicates that the daily workload is evenly divided between extended residential care and short-term post-hospital therapy. Families looking at payment options can cover their costs through standard private pay, traditional Medicare, or state Medicaid.

The facility’s 24-hour nursing team logs about 4 hours and 42 minutes of direct, hands-on care per resident daily. This crew of registered nurses, practical nurses, and assistants coordinates short-term rehab routines in an on-site therapy gym alongside standard clinical care.

Daily amenities include an outdoor courtyard, a hair salon, structured recreational activities, and meals managed by a certified dietary manager to fit individual food choices. The location has a 45 walk score, so visitors can handle a few minor tasks on foot, but most errands will require a car.

Older adults can contact the admissions coordinator to check on current bed openings or to learn about the registration process. The administrative staff can also share details from their state survey reports; notably, the most recent inspection resulted in zero health deficiencies or complaints, reflecting how the team maintains safety and documentation standards across their medication, infection control, and environmental protocols.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to state averages

Total nursing care / resident Info 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.
4h 42m per day
vs avg

5 of 6 metrics below state avg

Standout metric LPN / LVN is +13% above state avg
Staff type Hours / Day / Resident vs state avg
Registered Nurse (RN) Info 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. 20m per day ▼ 17% State avg: 24m per day · National avg: 41m per day
LPN / LVN Info 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. 1h 4m per day ▲ 13% State avg: 57m per day · National avg: 52m per day
Nurse Aide Info 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 17m per day ▼ 16% State avg: 2h 43m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 13m per day ▼ 8% State avg: 3h 29m per day · National avg: 3h 26m per day
Physical Therapist Info 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. 0m per day ▼ 89% State avg: 2m per day · National avg: 4m per day
Weekend RN Info 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. 12m per day ▼ 22% State avg: 16m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
253 days
Bed community size
84-bed community Rank #176 / 330Bed count — State benchmarkedThis home is ranked 176th out of 330 homes in Arkansas. Shows this facility's certified or reported bed count compared to other Arkansas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.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.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
18 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 45 / 100 Rank #133 / 419Walk Score — State benchmarkedThis home is ranked 133rd out of 419 homes in Arkansas. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Arkansas facilities. Higher scores benefit residents, families, and staff.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.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
87%
Higher than the Arkansas average: 71.3%
Occupied beds
73 / 84
Average occupied beds in Arkansas homes 77 beds

License Details

Facility TypeSkilled Nursing Facility With Dual Certified Beds (medicaid /medicare)
CountyFulton
CMS Certification Number045248
Certification TypeMedicaid / Medicare

Ownership & Operating Entity

Southfork River Therapy and Living is legally operated by SLNC, Inc., and administered by Brent Tyson.

Owner NameSlnc, Inc
Profit StatusFor-profit

Type Of Units

Medicaid and Medicare
84 units
Total beds
84 units

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactMs. Kathy Speaks

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

1 service
24-Hour Staffing

Contact Information

Fax(870) 895-3009

Amenities & Lifestyle

Communal Dining Space
Dedicated Activity Area
Outdoor Courtyard
Therapy Gym
Salon Services
Activities
Specific ProgramsShort-Term Rehab, Additional Resources

Contact Southfork River Therapy and Living

Inspection History

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.

Since 2022 · 4 years of data 10 deficiencies

Inspection Scorecard Info 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.

Since 2022 vs. Arkansas state average
Overall vs. AR average 0 Worse No metrics in this bucket. 2 Better Metrics better than Arkansas average:
• Total deficiencies (52% below)
• Deficiencies per year (53% below)
Latest Inspection August 15, 2024 Annual Inspection

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This Facility AR Average vs. AR Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 10 21 This facility has 52% fewer total deficiencies than a typical Arkansas assisted living residence (10 vs. AR avg 21).↓ 52% better
Deficiencies per year Info Average deficiencies per year since 2022. 2.5 5.3 This facility has 53% fewer deficiencies per year than a typical Arkansas assisted living residence (2.5 vs. AR avg 5.3).↓ 53% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The August 15, 2024 annual inspection found no health deficiencies or complaints at the facility.
  • The September 8, 2023 inspection cited four deficiencies including unsecured hazardous chemicals, missing CPAP physician orders, expired and mislabeled medications, and improper glove use during medication administration.
  • The June 17, 2022 inspection identified six deficiencies in resident care, including inaccurate assessments, incomplete care plans, poor hygiene, inconsistent use of positioning devices, and food safety violations.

Health Inspection History

Inspections since 2022
Total health inspections 2

State average N/A


Last Health inspection on Sep 2023

Total health citations
10

State average N/A

Citations per inspection
5

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 10 citations resulted from standard inspections.

Breakdown of citation severity (last 4 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

10 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 4 years)
Infection Control moderate citation Sep 08, 2023
Corrected

Pharmacy moderate citation Sep 08, 2023
Corrected

Quality of Care moderate citation Sep 08, 2023
Corrected

Quality of Care moderate citation Sep 08, 2023
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 78
Employees 61
Contractors 17
Staff to resident ratio 1.15 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 30
Average shift 8.8 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 24,154

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 1 RN Staff are full-time employees. No contractors work on this role. 1
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 13 LPN Staff are full-time employees. No contractors work on this role. 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 30 CNA Staff are full-time employees. No contractors work on this role. 30
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

2.8%

678 contractor hours this quarter

Clinical Nurse Specialist: 5 Physical Therapy Assistant: 5 Respiratory Therapy Technician: 3 Physical Therapy Aide: 2 Speech Language Pathologist: 1 Qualified Social Worker: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant 30 0 30 11,796 92 100% 10
Licensed Practical Nurse 13 0 13 5,953 92 100% 9
Clinical Nurse Specialist 4 5 9 1,479 92 100% 7.5
Nurse Aide in Training 7 0 7 1,305 79 86% 8.3
Medication Aide/Technician 1 0 1 605 57 62% 10.6
Dietitian 1 0 1 500 62 67% 8.1
RN Director of Nursing 1 0 1 496 62 67% 8
Mental Health Service Worker 1 0 1 480 65 71% 7.4
Administrator 1 0 1 448 56 61% 8
Nurse Practitioner 1 0 1 440 55 60% 8
Speech Language Pathologist 0 1 1 277 65 71% 4.3
Physical Therapy Aide 0 2 2 233 65 71% 3.5
Registered Nurse 1 0 1 72 8 9% 8.9
Qualified Social Worker 0 1 1 26 18 20% 1.4
Physical Therapy Assistant 0 5 5 23 23 25% 1
Respiratory Therapy Technician 0 3 3 23 17 18% 1.2
30 Certified Nursing Assistant
% of Days 100%
13 Licensed Practical Nurse
% of Days 100%
9 Clinical Nurse Specialist
% of Days 100%
7 Nurse Aide in Training
% of Days 86%
1 Medication Aide/Technician
% of Days 62%
1 Dietitian
% of Days 67%
1 RN Director of Nursing
% of Days 67%
1 Mental Health Service Worker
% of Days 71%
1 Administrator
% of Days 61%
1 Nurse Practitioner
% of Days 60%
1 Speech Language Pathologist
% of Days 71%
2 Physical Therapy Aide
% of Days 71%
1 Registered Nurse
% of Days 9%
1 Qualified Social Worker
% of Days 20%
5 Physical Therapy Assistant
% of Days 25%
3 Respiratory Therapy Technician
% of Days 18%

Penalties and fines

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.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 5.1
34% better than State average

State average: 7.7

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 9.9
26% better than State average

State average: 13.3

Long-stay resident measures
Significantly above average State avg: 4.2 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 6.6%
43% better than State average

State average: 11.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 12.1%
9% better than State average

State average: 13.4%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 11.0%
28% better than State average

State average: 15.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.8%
29% better than State average

State average: 3.9%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.6%
45% better than State average

State average: 4.7%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than State average

State average: 1.3%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.3%
74% better than State average

State average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.2%
173% worse than State average

State average: 1.5%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 6.3%
40% better than State average

State average: 10.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.6%
5% better than State average

State average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.5%
In line with State average

State average: 96.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.37
30% better than State average

State average: 1.97

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.35
38% better than State average

State average: 2.18

Short-stay resident measures
Average State avg: 2.7 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 50.5%
38% worse than State average

State average: 80.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 30.0%
61% worse than State average

State average: 77.7%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 15.4%
39% better than State average

State average: 25.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 10.0%
28% better than State average

State average: 13.8%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 52.4%
In line with State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 45.0%
11% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

23% of new residents, usually for short-term rehab.

Typical stay 2 - 3 months

Private pay

46% of new residents, often for short stays.

Typical stay 3 months

Medicaid

30% of new residents, often for long-term daily care.

Typical stay 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 68
Medicare
6
8.8% of residents
Medicaid
48
70.6% of residents
Private pay or other
14
20.6% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info 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."
$7.5M
Net patient income Info 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."
$1.1M
For-profit Operated by a single business entity.
Net patient revenue Info 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."
$7.5M
Net patient income Info 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."
$1.1M
Other income Info 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.
$13.4K
Payroll costs Info 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.
$3.1M 41.8% of net patient revenue Info 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.
Other operating costs Info 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).
$3.3M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.5M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under private pay (46% of admissions), and a typical private pay stay runs around 3 months.

Admissions
99 total

Coverage residents most often arrive under.

Medicare 23%
Private pay 46%
Medicaid 30%
Discharges
106 total

Coverage residents most often leave under.

Medicare 30%
Private pay 42%
Medicaid 28%

Places of interest near Southfork River Therapy and Living

Address 0.0 miles from city center Info Estimated distance in miles from Salem's city center to Southfork River Therapy and Living's address, calculated via Google Maps.

Calculate Travel Distance to Southfork River Therapy and Living

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Address

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The information below is reported by the Arkansas Department of Human Services, Office of Long Term Care.

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Frequently Asked Questions about Southfork River Therapy and Living

Who is the owner of Southfork River Therapy and Living?

Southfork River Therapy and Living is legally operated by SLNC, Inc., and administered by Brent Tyson.

Is Southfork River Therapy and Living in a walkable area?

Southfork River Therapy and Living has a walk score of 45. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Southfork River Therapy and Living?

Southfork River Therapy and Living's occupancy is 87%.

Does Southfork River Therapy and Living operate as a for-profit or non-profit?

Southfork River Therapy and Living is registered as a for-profit in AR.

Who is the administrator of Southfork River Therapy and Living?

Brent Tyson is the administrator of Southfork River Therapy and Living.

How many beds does Southfork River Therapy and Living have?

Southfork River Therapy and Living has 84 beds.

Are there photos of Southfork River Therapy and Living?

Yes — there are 16 photos of Southfork River Therapy and Living in the photo gallery on this page.

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