Inspection Reports for
Atkins Nursing and Rehabilitation Center
605 Northwest 7th Street, Atkins, AR, 72823
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
4% better than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Routine
Deficiencies: 7
Date: Oct 17, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident rights, assessments, care planning, safety, food service, infection control, and other aspects of nursing home care.
Findings
The facility was found deficient in multiple areas including failure to maintain resident dignity during care, incomplete significant change assessments, inaccurate and incomplete care plans, inadequate fire hazard prevention in laundry, serving cold food, improper food handling and storage, and failure to follow enhanced barrier precautions for infection control.
Deficiencies (7)
Failed to ensure dignity was maintained while performing Activities of Daily Living (ADL) for one resident by not pulling the privacy curtain during incontinent care.
Failed to complete a Significant Change in Status Minimum Data Set (MDS) comprehensive assessment within 14 calendar days for one resident.
Failed to develop and implement a comprehensive person-centered care plan reflecting the resident's current health status and needs.
Failed to ensure lint traps for two dryers in the laundry were cleaned to prevent fire hazard.
Failed to ensure hot foods were served hot to maintain palatability and encourage adequate nutritional intake.
Failed to ensure dietary employees washed hands or changed gloves before handling food and failed to discard expired food products.
Failed to ensure staff followed Enhanced Barrier Precautions to reduce infection risk for a resident with a stage 3 pressure ulcer.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 1
Residents affected: 1
Food temperatures: 80
Food temperatures: 114
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #6 | Certified Nursing Assistant | Named in dignity deficiency for not pulling privacy curtain |
| Certified Nursing Assistant #7 | Certified Nursing Assistant | Named in dignity deficiency for not pulling privacy curtain |
| Director of Nursing | Director of Nursing | Interviewed regarding privacy curtain policy |
| MDS Coordinator | MDS Coordinator | Interviewed regarding significant change MDS and care plan deficiencies |
| Housekeeper/Laundry Supervisor | Housekeeper/Laundry Supervisor | Interviewed regarding lint trap cleaning |
| Housekeeper #12 | Housekeeper | Interviewed regarding lint trap cleaning |
| Certified Nursing Assistant #3 | Certified Nursing Assistant | Observed delivering food trays |
| Certified Nursing Assistant #4 | Certified Nursing Assistant | Interviewed regarding food cart handling and food temperature |
| Certified Nursing Assistant #5 | Certified Nursing Assistant | Observed delivering food trays |
| Dietary Manager | District Dietary Manager | Measured food temperatures and provided policy documents |
| Dietary [NAME] (DC) #1 | Dietary Cook | Observed handling food with contaminated gloves |
| Dietary Aide #2 | Dietary Aide | Observed not washing hands before attaching blender blade |
| CNA #8 | Certified Nursing Assistant | Observed not using PPE during care of resident with pressure ulcer |
| CNA #9 | Certified Nursing Assistant | Observed not using PPE and interviewed about barrier precautions |
| Wound Consultant | Wound Consultant | Interviewed regarding infection control for resident with pressure ulcer |
| Treatment Nurse | Treatment Nurse | Interviewed regarding infection control for resident with pressure ulcer |
Inspection Report
Annual Inspection
Census: 59
Deficiencies: 5
Date: Sep 8, 2023
Visit Reason
The inspection was conducted to evaluate compliance with regulatory standards related to respiratory care, medication management, nutritional services, food safety, and sanitation at Atkins Nursing and Rehabilitation Center.
Findings
The facility was found deficient in multiple areas including improper handling and storage of CPAP equipment, failure to remove expired medications from medication carts, inadequate meal preparation and serving according to planned menus, poor consistency of pureed foods, and unsanitary food storage and handling practices. These deficiencies had the potential to cause minimal harm or actual harm to residents.
Deficiencies (5)
Failure to ensure CPAP tubing and mask were properly changed, dated, and bagged to prevent infections for 1 sampled resident.
Failure to remove expired medications from 1 of 2 medication carts.
Failure to ensure meals were prepared and served according to the planned written menu to meet nutritional needs for 1 of 2 meals observed.
Failure to ensure pureed food items were blended to a smooth, lump-free consistency for 2 of 2 meals observed.
Failure to ensure food safety and sanitation including leftover food use, cleanliness of ice machine and scoop holder, proper food storage, hand hygiene of dietary staff, and maintenance of food temperatures.
Report Facts
Residents affected by pureed diet meal deficiency: 12
Residents affected by mechanical soft diet meal deficiency: 13
Residents affected by regular diet meal deficiency: 33
Total census: 59
Expired medications found: 12
Temperature of potato salad: 50
Temperature of pureed potato salad: 50
Temperature of baked beans: 115
Hamburger buns best used by date: Aug 29, 2023
Hamburger buns best used by date: Sep 2, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Assistant #1 | CNA | Confirmed no date on CPAP tubing and it was not stored in a bag |
| Licensed Practical Nurse #3 | LPN | Confirmed tubing should be changed weekly and was dirty; no date on tubing and not stored in a bag |
| Director of Nurses | DON | Stated tubing should be changed weekly on Sunday night and provided manufacturer guidelines |
| Licensed Practical Nurse #1 | LPN | Stated insulin is good for 28 days after opening |
| Dietary Employee #4 | DE | Prepared meals improperly, served incorrect portions, and failed to puree bread and cheese for pureed diets |
| Dietary Supervisor | Provided lists of residents by diet type, weighed cheese slices, and provided facility policies | |
| Dietary Employee #3 | DE | Described consistency of pureed foods and answered questions about leftover food use and cleaning |
| Dietary Employee #1 | DE | Observed cleaning practices and food handling violations |
| Dietary Employee #2 | DE | Observed handling glasses by rims without washing hands |
| Dietary Employee #5 | DE | Observed handling glasses by rims without washing hands |
Inspection Report
Routine
Deficiencies: 3
Date: Jun 23, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident assessments, care planning, and provision of appropriate foot care in a nursing home setting.
Findings
The facility failed to accurately document hospice services in the Minimum Data Set (MDS) assessments and care plans for one resident receiving hospice care, potentially affecting five residents. Additionally, the facility failed to ensure consistent toenail care for a diabetic resident, risking potential complications.
Deficiencies (3)
Failed to ensure Minimum Data Set (MDS) assessment accurately reflected hospice status for one resident.
Failed to ensure hospice services were documented on the care plan for one resident.
Failed to ensure toenail care was consistently provided to prevent potential complications for one diabetic resident.
Report Facts
Residents affected: 5
Sample residents with diabetes: 5
Assessment Reference Date: May 6, 2022
Assessment Reference Date: May 26, 2022
Physician Order Date: Jan 26, 2022
Physician Order Date: Jun 21, 2022
Hospice admission date: Sep 21, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing (ADON) | Provided list of residents receiving hospice services and answered questions about hospice documentation | |
| Director of Nursing (DON) | Confirmed hospice documentation requirements and responsibility for nail care oversight | |
| Licensed Practical Nurse (LPN) #1 | Performed nail care and described condition of resident's toenails |
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