Inspection Reports for
Brookridge Cove Rehabilitation and Care Center
1000 Brookridge Lane, Morrilton, AR, 72110
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
7.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
48% worse than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
16
12
8
4
0
Occupancy
Latest occupancy rate
79% occupied
Based on a August 2025 inspection.
Occupancy rate over time
Inspection Report
Routine
Census: 106
Deficiencies: 4
Date: Aug 1, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements including resident privacy, staffing adequacy, food safety, and infection control practices at Brookridge Cove Rehabilitation and Care Center.
Findings
The facility was found deficient in maintaining resident privacy regarding unauthorized social media postings, insufficient nursing and aide staffing to meet resident needs, food safety violations including expired food and unsanitary conditions, and failure to follow proper infection prevention and control procedures including hand hygiene and use of enhanced barrier precautions.
Deficiencies (4)
Failure to ensure a resident's photograph was not posted on social media without permission, violating privacy and dignity.
Failure to provide sufficient nursing staff daily to meet residents' needs, with staffing shortages documented across multiple shifts.
Failure to maintain food service areas and equipment in a clean and sanitary condition, including rust on pest trap, dirty ice machines, expired food items, and improper hand hygiene by dietary staff.
Failure to perform proper hand hygiene and follow enhanced barrier precautions during incontinent care and wound care for residents, risking infection.
Report Facts
Facility census: 106
Staffing shifts reviewed: 15
Followers: 1800
Incident counts: 7
Incident counts: 9
Incident counts: 9
Incident counts: 23
Incident counts: 73
Incident counts: 4
Incident counts: 15
Incident counts: 1
Inspection Report
Routine
Deficiencies: 2
Date: Sep 4, 2024
Visit Reason
The inspection was conducted to assess the facility's compliance with safety standards, specifically regarding the maintenance of a safe, clean, and homelike environment for residents.
Findings
The facility failed to maintain safe wall-mounted railings as evidenced by loose or disconnected handrail brackets on the 200 and 300 halls. Maintenance had not inspected or repaired these issues prior to the survey.
Deficiencies (2)
Wall mounted handrail on 200 Hall was not anchored and bracket was disconnected from the sheetrock.
Wall mounted handrail bracket on 300 Hall was loose.
Report Facts
Date of survey completion: Sep 4, 2024
Maintenance request review period: 18
Inspection Report
Routine
Deficiencies: 3
Date: Apr 25, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to resident care, safety, and facility sanitation at Brookridge Cove Rehabilitation and Care Center.
Findings
The facility was found deficient in maintaining clean bedding for a resident, ensuring smokers wore required smoking aprons to prevent accidents, and maintaining sanitary conditions in the kitchen, including issues with the ice machine and cleanliness of kitchen surfaces.
Deficiencies (3)
Failed to ensure Resident #1's bedding was clean and in place, with stained pillowcases and blankets observed.
Failed to ensure an accident/hazard free environment for smokers requiring a smoking apron; residents were observed smoking without aprons and the facility lacked a smoking policy.
Failed to ensure the kitchen was in sanitary condition; ice machine had stained cloth trimming, dust and grease buildup on kitchen surfaces, and dirty food storage areas.
Report Facts
Resident cognitive score: 15
Dates of observations: Apr 22, 2024
Dates of observations: Apr 23, 2024
Dates of observations: Apr 24, 2024
Dates of observations: Apr 25, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #3 | Certified Nursing Assistant | Observed pushing Resident #1 and interviewed about stained pillowcase |
| Certified Nursing Assistant #1 | Certified Nursing Assistant | Interviewed about procedure for smokers and smoking aprons |
| Certified Nursing Assistant #2 | Certified Nursing Assistant | Interviewed about procedure for smokers and smoking aprons |
| Director of Nursing | Director of Nursing | Interviewed about smoker supervision and smoking apron procedures |
| Dietary Manager | Dietary Manager | Interviewed about ice machine cloth and kitchen cleanliness |
| Administrator | Administrator | Stated ice machine was being taken out of commission |
Inspection Report
Routine
Census: 107
Deficiencies: 14
Date: Feb 17, 2023
Visit Reason
Routine inspection of Brookridge Cove Rehabilitation and Care Center to assess compliance with regulatory requirements related to resident rights, financial management, resident care, safety, infection control, nutrition, and staff vaccination.
Findings
The facility was found deficient in multiple areas including resident council meeting rights, financial statement provision, posting of ombudsman information, mail delivery, confidentiality of resident records, accuracy of assessments, care plan updates, bathing and grooming assistance, diabetic toenail care, environmental safety hazards, respiratory care, meal preparation and service, food safety practices, and staff COVID-19 vaccination compliance.
Deficiencies (14)
Failed to ensure residents could hold Resident Council meetings without staff present.
Failed to provide individual quarterly financial statements to residents with trust funds.
Failed to post Ombudsman and OLTC complaint information accessibly in the Cottage.
Failed to provide mail on Saturdays, potentially delaying resident mail receipt.
Failed to ensure confidentiality of resident records by leaving computer screens unlocked and visible.
Failed to ensure accurate coding of Minimum Data Set (MDS) assessments for residents.
Failed to reassess and update care plans after significant changes, specifically diabetic nail care.
Failed to provide regular bathing and grooming assistance, including shaving, for residents.
Failed to provide diabetic toenail care as ordered and failed to ensure timely podiatrist visits.
Failed to ensure metal bolts securing toilet seats were cut to safe length to prevent injury.
Failed to ensure proper storage and timely replacement of malfunctioning CPAP machine and mask.
Failed to serve meals according to the planned menu, including incorrect portion sizes and substitutions.
Failed to ensure proper hand hygiene by food service staff and maintain safe food temperatures and discard expired food.
Failed to ensure all staff were fully vaccinated for COVID-19 or had approved exemptions or delays, and failed to maintain accurate vaccination records.
Report Facts
Residents affected by trust fund statement deficiency: 44
Residents affected by mail delivery deficiency: 107
Residents affected by confidentiality deficiency: 93
Residents affected by bathing assistance deficiency: 74
Residents affected by diabetic toenail care deficiency: 4
Residents affected by toilet bolt hazard: 18
Residents affected by meal preparation deficiency: 6
Residents affected by food safety deficiencies: 96
Staff working without proper COVID-19 vaccination or exemption: 6
COVID-19 positive residents: 16
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #5 | Mentioned in relation to trust fund statements and diabetic nail care | |
| Activity Director | Mentioned in relation to Resident Council meetings | |
| Administrator | Mentioned in relation to Resident Council meetings, trust fund statements, mail delivery, and COVID-19 vaccination compliance | |
| Business Office Manager | Mentioned in relation to trust fund statements and mail delivery | |
| Licensed Practical Nurse #4 | Mentioned in relation to confidentiality of resident records | |
| Licensed Practical Nurse #5 | Mentioned in relation to confidentiality of resident records | |
| Licensed Practical Nurse #3 | Mentioned in relation to confidentiality of resident records and bathing | |
| Director of Nursing | Mentioned in relation to confidentiality of resident records, care plan updates, bathing, and CPAP care | |
| Registered Nurse Consultant | Provided policies and information on deficiencies | |
| Social Director | Mentioned in relation to podiatrist visits and diabetic nail care | |
| Certified Nursing Assistant #10 | Mentioned in relation to bathing and shower schedules | |
| Certified Nursing Assistant #11 | Mentioned in relation to bathing and shower schedules | |
| Dietary Employee #1 | Mentioned in relation to food handling and hygiene | |
| Dietary Employee #2 | Mentioned in relation to food handling and hygiene | |
| Human Resource Coordinator | Mentioned in relation to COVID-19 vaccination tracking |
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