Inspection Reports for
Beebe Retirement Center, Inc.
709 McAfee Lane, Beebe, AR, 72012
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
5.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
2% worse than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
78% occupied
Based on a September 2025 inspection.
Occupancy rate over time
Inspection Report
Census: 82
Deficiencies: 3
Date: Sep 5, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements including resident access to survey results, medication labeling and storage, and staffing sufficiency based on the facility assessment.
Findings
The facility failed to ensure residents had access to the most recent survey results, failed to ensure no expired medications were given due to lack of opened date on insulin pens, and failed to maintain sufficient staffing on multiple shifts as per the facility assessment.
Deficiencies (3)
Failed to ensure residents, family members, and legal representatives had access to the facility's most recent survey results.
Failed to ensure no expired medications were given; insulin pens lacked indication of opened date.
Failed to ensure sufficient staffing in accordance with the facility assessment on 24 of 66 shifts reviewed.
Report Facts
Residents census: 82
Shifts with insufficient staffing: 24
Dates with insufficient CNA staffing: 19
Insulin pens observed without opened date: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #10 | Licensed Practical Nurse | Confirmed importance of writing opened date on insulin pens to prevent expired medication administration |
| Administrator | Interviewed regarding location of posted survey results and staffing concerns | |
| Director of Nursing | Director of Nursing | Interviewed regarding staffing sufficiency and coverage efforts |
| Housekeeper #5 | Housekeeper | Reported insufficient staffing, especially on night shifts |
| CNA #6 | Certified Nursing Assistant | Reported frequent call-ins causing short staffing and working extra shifts |
Inspection Report
Routine
Deficiencies: 2
Date: Jul 18, 2024
Visit Reason
The inspection was conducted to assess the facility's compliance with infection prevention and control protocols, specifically focusing on hand hygiene and enhanced barrier precautions during medication administration and care for residents with feeding tubes.
Findings
The facility failed to ensure proper hand hygiene before, during, and after medication passes for two residents and did not follow enhanced barrier precautions for one resident with a feeding tube. Observations and interviews confirmed lapses in hand sanitization and use of personal protective equipment by nursing staff.
Deficiencies (2)
Failure to ensure proper hand hygiene before, during, and after medication pass for Residents #6 and #132.
Failure to ensure enhanced barrier precautions were followed for Resident #59 with a feeding tube.
Report Facts
Residents affected: 3
Date of observation: Jul 16, 2024
Date of observation: Jul 17, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #1 | Observed failing to sanitize hands and not wearing gown or gloves during care of Resident #59 | |
| Registered Nurse (RN) #2 | Observed failing to sanitize hands before medication administration for Residents #6 and #132 | |
| Director of Nursing (DON) | Confirmed infection control policies and enhanced barrier precautions requirements |
Inspection Report
Routine
Deficiencies: 3
Date: Jul 18, 2024
Visit Reason
The inspection was conducted to assess compliance with regulations regarding medication self-administration, accuracy of resident assessments, and care planning for residents, including review of Minimum Data Set (MDS) completion and care plan updates.
Findings
The facility failed to ensure proper assessment and physician orders for residents self-administering medications, failed to accurately complete assessments for two residents regarding medication use and functional status, and failed to revise and update the care plan to reflect current tube feeding status for one resident.
Deficiencies (3)
Failed to ensure residents who want to self-administer medications were properly assessed and had physician orders for self-administration.
Failed to accurately complete Minimum Data Set (MDS) assessments for two residents, including incorrect classification of anticoagulant use and functional limitations.
Failed to revise and update the care plan to reflect current tube feeding status for one resident.
Report Facts
Residents affected: 1
Residents affected: 2
Residents affected: 1
Medication doses held: 4
Feeding formula volume: 237
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) #2 | Observed medication administration and interviewed regarding self-administration policy | |
| Director of Nursing (DON) | Interviewed regarding self-administration policy, MDS completion, and care plan updates | |
| Licensed Practical Nurse (LPN) #1 | Observed administering diabetic formula via feeding tube |
Inspection Report
Routine
Census: 82
Deficiencies: 2
Date: Sep 27, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident assessments following significant changes in condition and to evaluate staffing adequacy and responsiveness to resident needs.
Findings
The facility failed to complete comprehensive assessments within 14 days for two residents receiving hospice care after significant changes in condition. Additionally, the facility did not maintain sufficient nursing staff to meet residents' needs safely, resulting in delayed responses to call lights, with some delays exceeding two hours.
Deficiencies (2)
Failed to complete a comprehensive assessment within 14 days of a significant change for 2 residents receiving hospice care.
Failed to have sufficient nursing staff available to meet residents' needs safely and have a licensed nurse in charge on each shift, resulting in delayed call light responses.
Report Facts
Residents affected: 82
July 2023 reportable hours: 7679.26
July 2023 minimum direct care hours needed: 8282.8
August 2023 reportable hours: 7855.77
August 2023 minimum direct care hours needed: 8296.34
Call light response time: 172
Call light response time: 35.8
Call light response time: 39.23
Call light response time: 159.33
Call light response time: 162
Call light response time: 153
Call light response time: 121
Call light response time: 176
Call light response time: 112
Call light response time: 66
Call light response time: 54.77
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Confirmed hospice care dates and assessment requirements for Residents #1 and #2 |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Stated ideal call light response time is 2 minutes |
| Licensed Practical Nurse #3 | Licensed Practical Nurse | Stated acceptable call light response time is about 5 minutes |
| Certified Nursing Assistant #1 | Certified Nursing Assistant | Stated acceptable call light response time should not be very long |
| Certified Nursing Assistant #2 | Certified Nursing Assistant | Stated acceptable call light response time is less than 3 minutes |
| Administrator | Administrator | Discussed staffing goals and challenges, and call light answering procedures |
Inspection Report
Routine
Census: 79
Deficiencies: 6
Date: Jun 16, 2023
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to medication self-administration, accurate resident assessments, respiratory care, dietary services, infection control, and isolation precautions at Beebe Retirement Center.
Findings
The facility was found deficient in multiple areas including failure to assess residents for safe self-administration of nebulizer treatments, inaccurate Minimum Data Set (MDS) assessments regarding anticoagulant use, improper storage and handling of respiratory equipment, inadequate preparation of pureed food, poor hand hygiene and food handling practices in the dietary department, and failure to follow proper isolation precautions and use of Personal Protective Equipment (PPE) for residents on contact isolation.
Deficiencies (6)
Failed to ensure residents were assessed and deemed safe for self-administration of nebulizer treatments for 2 of 5 sampled residents.
Failed to ensure the Minimum Data Set (MDS) assessment accurately reflected anticoagulant use for 5 of 5 sampled residents.
Failed to ensure oxygen tubing and nebulizer equipment were properly stored to prevent infection for 1 of 10 sampled residents and failed to ensure nebulizer equipment was properly dated and stored for 2 of 5 sampled residents.
Failed to ensure pureed food items were blended to a smooth, lump-free consistency for 1 meal observed.
Failed to ensure dietary staff washed their hands before handling clean equipment or food items and failed to ensure dairy products were sealed in the refrigerator, risking cross contamination.
Failed to ensure proper Personal Protective Equipment (PPE) was worn for a resident on contact isolation precautions.
Report Facts
Residents affected: 2
Residents affected: 5
Residents affected: 1
Residents affected: 2
Residents affected: 6
Residents affected: 73
Total census: 79
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Named in respiratory care and isolation PPE findings |
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Named in respiratory care and nebulizer self-administration findings |
| Assistant Director of Nursing | Assistant Director of Nursing | Provided statements on facility policies and infection control |
| Dietary Employee #1 | Dietary Employee | Named in dietary hand hygiene and food handling deficiencies |
| Dietary Employee #2 | Dietary Employee | Named in dietary food consistency and handling deficiencies |
| Certified Nursing Assistant #2 | Certified Nursing Assistant | Named in isolation PPE deficiency |
| Nursing Assistant #1 | Nursing Assistant | Named in isolation PPE deficiency |
| Rehabilitation Director | Rehabilitation Director | Provided information on therapy and isolation precautions |
| Infection Control Preventionist | Infection Control Preventionist | Provided information on infection control and isolation |
| MDS Coordinator | MDS Coordinator | Provided information on anticoagulant medication coding |
| Medicare Manager/MDS Coordinator | Medicare Manager/MDS Coordinator | Provided information on anticoagulant medication coding |
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