Inspection Reports for
Crestpark Helena, LLC
116 November Drive, Helena, AR 72342, AR, 72342
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
6.7 deficiencies/year
Deficiencies are regulatory findings recorded during state inspections.
29% worse than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Routine
Deficiencies: 5
Date: Sep 5, 2025
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements including medication administration, Minimum Data Set (MDS) transmission, environmental safety, staffing information posting, and infection control practices.
Findings
The facility was found deficient in multiple areas including failure to monitor PRN psychotropic medication orders beyond 14 days, delayed electronic transmission of MDS data, unsafe hot water temperatures in resident bathrooms, inadequate posting of daily staffing information accessible to visitors, and failure to maintain proper hand hygiene among staff during meal services.
Deficiencies (5)
Failure to monitor the continued need for PRN psychotropic medication orders beyond 14 days for one resident.
Failure to ensure MDS information was transmitted electronically within required timeframes for two residents.
Failure to maintain safe hot water temperatures in bathroom sinks, with temperatures exceeding the maximum recommended 110 degrees Fahrenheit.
Failure to post daily nurse staffing information in a prominent, accessible location for residents, staff, and visitors.
Failure to provide and maintain a safe and sanitary environment by not ensuring staff sanitized hands before and during meal service.
Report Facts
Residents affected: 1
Residents affected: 2
Water temperature: 122.9
Water temperature: 120.9
Daily staffing log dates observed: 2
Handwashing duration: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Interviewed regarding PRN medication orders and hand hygiene practices |
| Pharmacy Consultant | Pharmacy Consultant | Interviewed regarding medication regimen review and psychotropic drug monitoring |
| Medical Director | Medical Director | Interviewed regarding medication order duration and regulatory awareness |
| Assistant Director of Nursing | Assistant Director of Nursing | Interviewed regarding MDS transmission and staffing log posting |
| Administrator | Administrator | Interviewed regarding water temperature monitoring and staffing log posting |
| Certified Nursing Assistant #5 | Certified Nursing Assistant | Interviewed regarding hand hygiene practices during meal service |
| Registered Nurse #6 | Registered Nurse | Interviewed regarding hand hygiene practices |
| Assistant Director of Nursing | Assistant Director of Nursing | Interviewed regarding hand hygiene training and infection control |
Inspection Report
Routine
Census: 36
Deficiencies: 7
Date: Jun 6, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, medication administration, facility safety, and food service in a nursing home.
Findings
The facility was found deficient in timely emptying of bedside commodes, following seizure precaution care plans, ensuring proper call light assessments, maintaining medication error rates below 5%, securing controlled substances storage, enforcing dietary hand hygiene and food storage protocols, and maintaining safe and well-repaired resident areas including ceilings, furniture, and patio seating.
Deficiencies (7)
Failed to ensure bedside commode was emptied timely and care plan interventions for seizure precautions were followed by installing padded bedrails.
Failed to ensure a comprehensive assessment was completed to provide the proper type of call light to accommodate physical limitations of a resident.
Failed to ensure medication error rate was less than 5 percent during medication administration observation.
Failed to ensure the facility remained free of a significant medication error for one resident.
Failed to ensure the container used to store controlled substances was permanently affixed in medication room.
Failed to ensure dietary staff performed hand hygiene during meal preparation and service and failed to ensure food was properly stored and labeled after opening.
Failed to ensure ceiling was in good repair in a resident's room, sofas and chair in dayroom were in good repair, and patio tables and seating were safe and free of tears, cracks, and holes.
Report Facts
Residents observed for medication administration: 5
Residents with medication errors observed: 3
Missed doses of Eliquis: 8
Residents affected by dietary hand hygiene and food storage issues: 33
Residents affected by ceiling and furniture repair issues: Some
Census: 36
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Interviewed regarding Resident #1's care plan and seizure precautions |
| Licensed Practical Nurse #4 | Licensed Practical Nurse | Observed and interviewed regarding medication administration errors for Residents #27 and #32 |
| Licensed Practical Nurse #6 | Licensed Practical Nurse | Interviewed regarding medication administration error for Resident #10 |
| Director of Nursing | Director of Nursing | Confirmed medication order issues and controlled substances storage concerns |
| MDS Coordinator | MDS Coordinator | Interviewed regarding Resident #1's care plan and call light assessment |
| Administrator | Administrator | Interviewed regarding facility policies, ceiling repair, and controlled substances storage |
| Dietary Manager | Dietary Manager | Provided policies and interviewed regarding dietary hand hygiene and food storage |
Inspection Report
Annual Inspection
Deficiencies: 8
Date: Apr 13, 2023
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in multiple areas including failure to maintain resident dignity with catheter privacy bags, failure to accommodate resident self-determination, unsafe and unsanitary environmental conditions, improper use of electrical power strips for medical devices, lack of a formal Quality Assurance Performance Improvement (QAPI) program, inadequate infection prevention practices, malfunctioning call light systems, and improper storage of personal hygiene items.
Deficiencies (8)
Failure to ensure a resident's urinary catheter drainage bag was kept in a privacy bag to promote dignity.
Failure to accommodate a resident's choice to be escorted outside to watch cats, impacting self-determination.
Failure to ensure heating system was in good working order and maintain a clean, sanitary homelike environment in multiple resident rooms.
Failure to ensure medical devices were plugged into properly grounded outlets and not power strips; lack of policy on extension cords and power strips.
Failure to develop and implement a formal Quality Assurance Performance Improvement (QAPI) Plan.
Failure to ensure resident personal care equipment was properly cleaned and stored to prevent cross-contamination.
Failure to maintain and repair resident call light system to ensure functioning communication.
Failure to ensure personal hygiene items were stored in a sanitary manner in resident bathrooms.
Report Facts
Residents sampled with catheters: 5
Residents affected by catheter privacy bag deficiency: 1
Residents sampled for self-determination issue: 40
Residents affected by self-determination deficiency: 1
Resident rooms observed for environment issues: 15
Resident rooms affected by environment issues: 5
Residents sampled for pressure relief air mattress and electrical safety: 15
Residents affected by electrical safety deficiency: 1
Residents in facility: 35
Resident bathrooms observed for hygiene storage issues: 14
Resident bathrooms affected by hygiene storage deficiency: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #1 | Acknowledged catheter bag is supposed to be in a privacy bag but aides tend to forget to cover it. | |
| Certified Nursing Assistant (CNA) #2 | Confirmed resident requested to go outside and verified medical devices plugged into power strip. | |
| Administrator | Provided documentation on lack of policies, acknowledged deficiencies, and confirmed observations. | |
| Assistant Director of Nursing (ADON) | Provided facility policies, indicated cleaning practices for personal care equipment, and acknowledged lack of audits. | |
| Licensed Practical Nurse (LPN) #2 | Stated no log for maintenance repairs and was unfamiliar with QAPI goals. | |
| Licensed Practical Nurse (LPN) #3 | Confirmed no log for maintenance requests and described maintenance call process. | |
| Certified Nursing Assistant (CNA) #3 | Unaware of QAPI goals for 2023. |
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