01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-01-17 | 6 | 2025-01-17 | 2 |
| Cycle 2 | 2023-12-15 | 6 | 2023-12-15 | 2 |
| Cycle 3 | 2022-09-09 | 21 | 2022-09-09 | 2 |
CMS CCN 0453562026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Siloam Healthcare, Llc
811 West Elgin Street · Siloam Springs, AR 72761 · Benton County
Certified beds120CMS provider file
Recent citation rows39current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
39 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-01-17 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-02-142025-01-17 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-02-142025-01-17 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-02-142025-01-17 · HEALTHF0726Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Correction field: Deficient, Provider has date of correction · 2025-02-142025-01-17 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-02-142025-01-17 · HEALTHF0838Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Correction field: Deficient, Provider has date of correction · 2025-02-142025-01-17 · FIREK0347Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Correction field: Deficient, Provider has date of correction · 2025-02-142025-01-17 · FIREK0920Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-02-142023-12-15 · HEALTHF0554Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2024-01-142023-12-15 · HEALTHF0684Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-01-142023-12-15 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-01-142023-12-15 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-01-142023-12-15 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-01-142023-12-15 · HEALTHF0921Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2024-01-142023-12-15 · FIREK0347Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Correction field: Deficient, Provider has date of correction · 2024-01-142023-12-15 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2024-01-142022-09-09 · HEALTHF0558Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2022-10-092022-09-09 · HEALTHF0561Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2022-10-092022-09-09 · HEALTHF0569Severity B · pattern; potential for minimal harm
Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Correction field: Deficient, Provider has date of correction · 2022-09-092022-09-09 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Correction field: Deficient, Provider has date of correction · 2022-10-092022-09-09 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2022-10-092022-09-09 · HEALTHF0656Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2022-10-092022-09-09 · HEALTHF0677Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2022-10-092022-09-09 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2022-10-0903 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- HOFFMAN, HELENIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST7% · since 06/01/2018
- KURZ, CHAIMIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST7% · since 06/01/2018
- KURZ, SOLOMONIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST7% · since 06/01/2018
- SAFRIN, ESTHERIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST10% · since 06/01/2018
- SHAPIRO, CHAIMIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST15% · since 06/01/2018
- GUTMAN, ISAACIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/01/2018
- SHAPIRO, CHAIMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/01/2018
- WELLSPRING HEALTHCARE LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2018
- HAMILTON, LANCEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/01/2018
- WEAVER, KIMBERLYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/18/2022
- SILOAM REALTY LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/01/2018
- WELLSPRING HEALTHCARE LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/04/2025
- GUTMAN, ISAACIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/01/2018
- HAMILTON, LANCEIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/01/2018
- HOFFMAN, ALEXANDERIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/01/2018
- HOFFMAN, HELENIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/01/2018
- KURZ, CHAIMIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/01/2018
- KURZ, SOLOMONIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/01/2018
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.27per resident day
RN hours0.36per resident day
Weekend nurse hours3.83per resident day
Staff turnover52.4%CMS reported field
06 / LOCAL RECORDS
Open the Arkansas ledger →Other published facilities nearby
No second facility in the same city met the directory rule.