01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-02-20 | 3 | 2026-02-20 | 2 |
| Cycle 2 | 2024-07-25 | 2 | 2024-07-25 | 1 |
| Cycle 3 | 2023-05-05 | 4 | 2023-05-05 | 0 |
CMS CCN 0451962026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Southridge Village Nursing And Rehab
400 Southridge Parkway · Heber Springs, AR 72543 · Cleburne County
Certified beds122CMS provider file
Recent citation rows12current 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
12 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-02-20 · HEALTHF0756Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2026-03-202026-02-20 · 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 · 2026-03-202026-02-20 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2026-03-202026-02-20 · FIREK0321Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2026-03-182026-02-20 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-03-182024-07-25 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-08-242024-07-25 · HEALTHF0676Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Correction field: Deficient, Provider has date of correction · 2024-08-242024-07-25 · FIREK0341Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Correction field: Deficient, Provider has date of correction · 2024-08-222023-05-05 · HEALTHF0687Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Correction field: Deficient, Provider has date of correction · 2023-06-042023-05-05 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2023-06-042023-05-05 · HEALTHF0805Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Correction field: Deficient, Provider has date of correction · 2023-06-042023-05-05 · 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 · 2023-06-0403 / 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
- JACK, NACOLEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 08/28/2024
- RODGERS, SHANAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 07/01/2022
- THOMAS, DARRYLIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/01/2014
- ADAMS, ANTHONYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2014
- ADAMS, BRYANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2014
- ELLIS, JOHNIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2014
- KOEHLER, TOBEYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2014
- BIVINS, FRANKLINIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/28/2024
- RODGERS, SHANAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/2022
- HEALTH CARE SOLUTIONS, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/01/2019
- INCITE REHAB, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/01/2014
- LTC SYSTEMS/RX, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/01/2014
- PHARMACY CONSULTS, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 04/01/2014
- RELIANCE HEALTH CARE, INC.Organization · ADP OF THE SNFNOT APPLICABLE · since 04/01/2014
- BIVINS, FRANKLINIndividual · ADP OF THE SNFNOT APPLICABLE · since 08/28/2024
- COOPER, BENJAMINIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/01/2020
- COOPER, JAMESIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/01/2020
- COOPER, ROBERTIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/01/2020
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 hours3.56per resident day
RN hours0.46per resident day
Weekend nurse hours2.82per resident day
Staff turnover48.0%CMS reported field
06 / LOCAL RECORDS
Open the Heber Springs ledger →