Inspection Reports for
Alma Nursing and Rehab, LLC
401 Heather Lane, Alma, AR, 72921
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
23% better than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
70% occupied
Based on a August 2024 inspection.
Occupancy rate over time
Inspection Report
Routine
Census: 74
Deficiencies: 4
Date: Aug 22, 2024
Visit Reason
The inspection was conducted to evaluate compliance with nutritional and food safety standards in the facility's kitchen, including meal preparation according to the planned menu and food handling practices.
Findings
The facility failed to ensure meals were prepared and served according to the planned written menu for residents on pureed and mechanical soft diets, and dietary staff failed to wash hands before handling clean equipment, with issues noted in ice machine cleanliness and expired dressing products. These deficiencies had the potential to affect up to 74 residents.
Deficiencies (4)
Meals were not served according to the planned menu; incorrect scoop sizes were used for pureed and mechanical soft diets.
Dietary staff failed to wash hands before handling clean equipment, risking foodborne illness.
Ice machine had wet black residue buildup, indicating poor sanitation.
Expired dressing packets were found in the refrigerator.
Report Facts
Residents affected: 6
Residents affected: 21
Total residents affected: 74
Inspection date: Aug 20, 2024
Inspection Report
Routine
Census: 77
Deficiencies: 6
Date: Jun 9, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident privacy, pre-admission screening, personal care, respiratory care, nutrition, and food safety at Alma Nursing and Rehab.
Findings
The facility was found deficient in multiple areas including failure to maintain resident privacy during care, lack of Level II PASARR documentation for a resident, inadequate nail care and facial grooming, administering oxygen therapy without a physician's order, improper preparation and serving of fortified foods, and failure to maintain food safety standards such as proper food temperatures, storage, and sanitation.
Deficiencies (6)
Failed to pull the privacy curtain when providing care for Resident #17, exposing body parts without privacy safeguards.
Failed to ensure Level II PASARR screening was available in the electronic record for Resident #59.
Failed to provide regular nail care and facial grooming for Resident #11, affecting potential hygiene for 74 residents.
Failed to obtain a Physician's Order before administering supplemental oxygen to Resident #56.
Failed to prepare and serve fortified foods according to planned recipes, affecting nutritional needs for residents.
Failed to maintain cold food items at or above 41°F, ensure proper food storage, remove expired items, maintain ice machine sanitation, and proper hand hygiene by dietary staff.
Report Facts
Residents sampled: 20
Residents affected by nail care deficiency: 74
Residents receiving oxygen therapy sampled: 3
Total census: 77
Temperature of pureed bread: 48
Temperature of turkey sandwich: 47
Temperature of mechanical soft diet turkey sandwich: 55
Boxes of baking soda expired: 21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Named in privacy curtain deficiency for Resident #17 |
| LPN #2 | Licensed Practical Nurse | Named in oxygen therapy deficiency for Resident #56 |
| LPN #3 | Licensed Practical Nurse | Named in PASARR documentation deficiency for Resident #59 |
| Assistant Director of Nursing | Assistant Director of Nursing (ADON) | Interviewed regarding privacy, nail care, and oxygen therapy deficiencies |
| Director of Nursing | Director of Nursing (DON) | Provided lists of residents and facility policies related to deficiencies |
| Dietary Employee #1 | Dietary Employee | Named in fortified food preparation and serving deficiencies |
| Dietary Employee #2 | Dietary Employee | Named in food safety and hand hygiene deficiencies |
| Dietary Supervisor | Dietary Supervisor | Interviewed regarding food safety and storage deficiencies |
| Certified Nursing Assistant #2 | Certified Nursing Assistant (CNA) | Interviewed regarding nail care and facial grooming for Resident #11 |
Inspection Report
Routine
Census: 71
Deficiencies: 2
Date: Apr 1, 2022
Visit Reason
The inspection was conducted to assess compliance with care standards related to personal hygiene and dietary safety in the nursing home.
Findings
The facility failed to ensure proper fingernail care for residents dependent on staff, resulting in jagged and unclean nails for Resident #17, and failed to ensure dietary staff followed proper handwashing and food safety protocols, including maintaining food temperatures and removing expired food items.
Deficiencies (2)
Failure to ensure fingernails were clean, groomed, and free from jagged edges for Resident #17 dependent on staff for nail care.
Failure to ensure dietary staff washed hands before handling clean equipment or food items, maintain hot food at or above 135 degrees Fahrenheit, and promptly remove expired food items.
Report Facts
Residents affected: 65
Residents affected: 69
Census: 71
Food temperature: 112
Expired food boxes: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #1 | Described Resident #17's fingernail condition and responsibility for nail care | |
| Certified Nursing Assistants (CNA) #1 and #2 | Provided information on Resident #17's assistance needs and nail care responsibility | |
| Director of Nursing (DON) | Provided information on nail care policy and frequency | |
| Dietary Employees #1, #2, #3, #4, #5 | Observed and interviewed regarding handwashing and food handling practices |
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