Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Siloam Healthcare, Llc during CMS and state inspections, most recent first.
The facility failed to maintain a clean grease trap in the kitchen, as observed by the FSD who found black spillage and charred particles on the grease trap. The FSD admitted that the grease traps were cleaned only once a week, which was insufficient, posing a fire risk and potential pest attraction. A review of cleaning schedules showed no indication of regular grease trap cleaning, with the last documented cleaning in July 2024. A kitchen cleaning policy was requested but not provided.
The facility's assessment was incomplete, lacking critical information on resident care needs, staff training, and emergency preparedness. It failed to address processes for unfamiliar diagnoses, cultural needs, staffing coordination, and infection control, among other areas. The Administrator acknowledged the deficiencies.
A facility failed to accurately complete the MDS assessment for a resident dependent on renal dialysis. The resident's care plan indicated regular hemodialysis, but the MDS did not reflect this, despite a physician's order for dialysis from admission. The MDS Coordinator confirmed the oversight, which could impact care.
A facility failed to implement a physician's order to decrease a resident's anti-psychotic medication dosage. The resident, with major depressive disorder, had a documented order change that was not acted upon due to the DON's unawareness and the absence of a process for reviewing consultant notes. The facility lacked a policy for handling consultant medication changes, leading to the oversight.
A resident with severe cognitive impairment and multiple medical conditions experienced repeated falls resulting in injuries due to the facility's failure to investigate causative factors and update care plans. Despite being identified as a fall risk, interventions were inconsistently implemented, and staff were unaware of current measures due to outdated care plans. The facility did not conduct a comprehensive root cause analysis, leading to ongoing fall risks.
A facility failed to assess and administer a prescribed PRN diuretic for a resident with chronic heart failure and kidney disease, despite observable edema. The resident's physician had changed the diuretic order to as-needed due to concerns about dehydration, expecting daily assessments for edema. However, the nursing staff was unaware of the edema, and the diuretic was not administered throughout January. The facility's electronic medical record lacked an automatic assessment indicator for edema, and the facility's medication policy was not followed.
Failure to Maintain Clean Grease Trap in Kitchen
Penalty
Summary
The facility failed to ensure that food was prepared in accordance with professional standards for food service safety by not maintaining a clean grease trap in the kitchen. During an observation, the Food Service Director (FSD) revealed a grease trap on the stove covered with aluminum foil, containing an area of black spillage and charred particles. The FSD acknowledged that the grease traps were checked and cleaned only once a week, which was insufficient, and recognized that the charred particles and spillage posed a fire risk and could attract pests. A review of the facility's cleaning schedules for the past three months showed that while staff were responsible for cleaning the range hood, hood filters, stovetop, and grill, there was no indication that the grease trap was included in these cleaning tasks. The last documented cleaning of the grease traps was in July 2024, and no further documentation was provided to indicate subsequent cleanings. Additionally, a facility kitchen cleaning policy was requested but not provided to the surveyor before exiting the facility.
Incomplete Facility-wide Assessment for Resident Care
Penalty
Summary
The facility failed to ensure a comprehensive Facility-wide Assessment was conducted to determine the necessary resources for competent resident care during both routine operations and emergencies. The assessment, last updated on 11/27/2024, was found lacking in several critical areas. It did not include processes for making admission or continuing care decisions for residents with unfamiliar diagnoses or conditions. Additionally, it failed to assess residents' ethnic, cultural, or religious needs, which are essential for personalized care, including activities and food preferences. The assessment also omitted important details about the resident population that are crucial for determining staffing and resource needs, such as daily schedules and care routines. Furthermore, the assessment did not review staff assignments for care coordination and continuity, nor did it describe the necessary staff training and competencies required to meet the residents' care needs. It lacked a plan for recruiting and retaining adequately trained medical personnel and did not outline how the facility evaluates policies and procedures to ensure compliance with professional standards. The assessment also failed to list contracts or agreements with third parties for services or equipment during normal and emergency operations, and it did not include health information technology resources for managing resident records. Additionally, there was no description of the facility's infection prevention and control program or a risk assessment focusing on emergency preparedness. During an interview, the Administrator acknowledged the incomplete assessment and committed to completing it.
Inaccurate MDS Assessment for Dialysis Services
Penalty
Summary
The facility failed to ensure the Minimum Data Set (MDS) assessment was accurately completed for a resident who was dependent on renal dialysis. The resident was admitted with a diagnosis of dependence on renal dialysis, and the care plan indicated that the resident received hemodialysis three times a week. However, the admission MDS did not reflect that the resident was receiving dialysis services, despite having a physician's order for hemodialysis from the time of admission. During an interview, the MDS Coordinator acknowledged that the resident was on dialysis at the time of admission and that this was not indicated on the MDS, which could affect the care provided.
Failure to Implement Physician Order Changes for Medication
Penalty
Summary
The facility failed to ensure that physician order changes were immediately initiated for a resident who was prescribed an anti-psychotic medication. The resident, diagnosed with major depressive disorder, had a physician's order to decrease the dosage of a specific medication from 42 mg to 21 mg at bedtime. However, this change was not implemented, as the Director of Nursing (DON) was unaware of the order change documented in a psychiatric evaluation dated several months prior. The DON admitted that there was no established process for reviewing consultant progress notes or for ensuring that new orders from provider visits were recorded or changed. The DON acknowledged that the medication should have been reduced or a risk versus benefit statement from the physician should have been obtained, and the physician should have been notified. The facility lacked a policy addressing the review process for consultant changes in medications, and the existing policy on administering medications emphasized that medications should be administered in a safe and timely manner as prescribed. The failure to implement the medication change was attributed to the absence of a specific process for reviewing and acting upon consultant orders, as well as a lack of communication and documentation regarding the order change.
Failure to Investigate and Prevent Resident Falls
Penalty
Summary
The facility failed to adequately investigate and determine the causative factors of falls for a resident, leading to ineffective interventions and repeated falls. The resident, who had severe cognitive impairment and multiple medical conditions including dementia and a history of strokes, experienced numerous falls resulting in injuries such as abrasions and hematomas. Despite being identified as a fall risk, the care plan and interventions were not effectively updated or implemented to prevent further incidents. The resident's care plan included interventions such as ensuring proper footwear, using a merry walker, and keeping the bed in the lowest position with a fall mat. However, these interventions were not consistently followed or updated to reflect changes in the resident's condition, such as the transition from a merry walker to a wheelchair. Staff interviews revealed inconsistencies in the implementation of these interventions, with some staff unaware of the current fall prevention measures due to outdated care plans and lack of communication. The facility's failure to conduct a comprehensive root cause analysis of the resident's falls over the past year contributed to the ongoing risk of falls. The fall assessments were inaccurately completed, leading to incorrect fall risk scores. The Director of Nursing acknowledged that the facility had not thoroughly investigated the underlying causes of the falls, focusing only on recent incidents rather than a comprehensive review of the resident's fall history.
Failure to Administer PRN Diuretic for Resident with Edema
Penalty
Summary
The facility failed to properly assess and administer prescribed, as-needed diuretic medication for a resident diagnosed with cerebrovascular disease, hypertensive heart disease with heart failure, chronic diastolic heart failure, and chronic kidney disease. The resident had a physician's order for a diuretic to be given as needed for swelling related to chronic diastolic congestive heart failure. However, observations revealed significant swelling in the resident's feet, which extended beyond their shoes, indicating edema. Despite this, the diuretic was not administered throughout January, and there was no documentation or progress note explaining the change from routine to as-needed medication. Interviews with the nursing staff, including an LPN and the Director of Nursing (DON), revealed a lack of awareness and documentation regarding the resident's edema and the change in medication orders. The LPN was unable to provide a reason for the medication change or confirm the presence of edema, and the DON recalled the physician changing the order due to weight fluctuations. The primary care physician expected daily assessments for edema, but the facility's electronic medical record lacked an automatic assessment indicator for edema. The facility's policy required medications to be administered safely and timely, according to prescriber orders, but this was not adhered to in the case of the resident's diuretic therapy.
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What surveyors actually found near you
We read the 46 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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A prioritized, do-first checklist
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Nursing homes near Siloam Springs
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Quail Ridge Living Center, Inc | 1.1 mi | ★★★★★ | 0 | 0 |
| Apple Creek Health And Rehab, Llc | 17.8 mi | ★★★★★ | 0 | 0 |
| The Maples At Har-ber Meadows | 19.4 mi | ★★★★★ | 2 | 0 |
| Prairie Grove Health And Rehabilitation, Llc | 20 mi | ★★★★★ | 5 | 0 |
| Katherine's Place At Wedington | 20.1 mi | ★★★★★ | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.