Methodist Nursing Home of Fort Smith, Inc.

Ownership interest · 100%

Organization PAC 1456385780 Enrollment ID O20050926000380

Linked facilitiesFacilities

StatesStates

Portfolio HPRDPortfolio HPRD

4.89

n = 1

8 parties: 1 organizations · 7 individuals

Owners & control parties

Name	Owner/control PAC	Type	Role(s)	%
Bradley M Short	9638210685	Individual	Operational/Managerial Control; ADP of the SNF	—
Melissa L Curry	9436405883	Individual	Corporate Officer; Operational/Managerial Control	—
Methodist Nursing Home of Fort Smith, Inc.	1456385780	Organization	5% or Greater Direct Ownership Interest; 5% or Greater Security Interest; ADP of the SNF	100
Barbara Diment	0749799849	Individual	Corporate Officer	0
Bryant Dooly	8921517020	Individual	Corporate Officer	0
Kenneth Siebenmorgen	9830608934	Individual	Corporate Officer	0
Susan K Devero	7012426117	Individual	Corporate Officer	0
Terri L Kimble	2860851995	Individual	ADP of the SNF	—

Bradley M ShortPAC 9638210685
IndividualOperational/Managerial Control; ADP of the SNF
Melissa L CurryPAC 9436405883
IndividualCorporate Officer; Operational/Managerial Control
Methodist Nursing Home of Fort Smith, Inc.PAC 1456385780
Organization1005% or Greater Direct Ownership Interest; 5% or Greater Security Interest
Barbara DimentPAC 0749799849
Individual0Corporate Officer
Bryant DoolyPAC 8921517020
Individual0Corporate Officer
Kenneth SiebenmorgenPAC 9830608934
Individual0Corporate Officer
Susan K DeveroPAC 7012426117
Individual0Corporate Officer
Terri L KimblePAC 2860851995
IndividualADP of the SNF

Facility	Location	Role / stake	HPRD	Ratings	Census	Flags
Methodist Health and Rehab Methodist Nursing Home of Fort Smith, Inc. 127 residents			4.89	Ovr★★★☆☆Stf★★★★☆Ins★★★☆☆QM★★★★☆	127

Methodist Health and Rehab
Methodist Nursing Home of Fort Smith, Inc.
127 res4.89 HPRD
Overall 3Staffing Staff 4

Related CMS associates

Also appears as enrollment entity on 1 facility.

Facility	Enrollment ID	Location	City
Methodist Health and Rehab Methodist Nursing Home of Fort Smith, Inc. 127 residents	O20050926000380		FORT SMITH

Methodist Health and Rehab
Methodist Nursing Home of Fort Smith, Inc.
127 residents
Enrollment O20050926000380 · Fort Smith, AR · FORT SMITH

Name match to Methodist Nursing Home of Fort Smith, Inc. in FEC filings. Similar names may appear—confirm on FEC.gov.