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)
13.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
156% worse than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
16
12
8
4
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
Deficiencies: 5
Date: Sep 5, 2025
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to medication administration, Minimum Data Set (MDS) transmission, environmental safety, staffing information posting, and infection control practices at Crestpark Helena, LLC nursing home.
Findings
The facility was found deficient in monitoring psychotropic medication orders beyond 14 days, timely electronic transmission of MDS data, maintaining safe water temperatures, posting daily staffing information accessibly, and ensuring proper hand hygiene among staff during meal services.
Deficiencies (5)
Failed to monitor the continued need for PRN psychotropic medication orders beyond 14 days for one resident.
Failed to ensure MDS information was transmitted electronically within 14 days after completion for two resident assessments.
Failed to maintain safe hot water temperatures in bathroom sinks, exposing residents to potential burns.
Failed to post daily nurse staffing information in a prominent, accessible place for residents, staff, and visitors.
Failed to provide and maintain a safe and sanitary environment by not ensuring staff sanitized hands properly during meal services.
Report Facts
Residents affected: 1
Residents affected: 2
Water temperature: 120.9
Water temperature: 122.9
Daily staffing log dates observed: 2
Hand hygiene observations: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Interviewed regarding psychotropic medication orders and hand hygiene training |
| Pharmacy Consultant | Pharmacy Consultant | Interviewed regarding medication regimen review and psychotropic drug monitoring |
| Medical Director | Medical Director | Interviewed regarding medication orders and awareness of regulations |
| 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 and water temperature concerns |
| Registered Nurse #6 | Registered Nurse | Interviewed regarding hand hygiene practices |
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 multiple areas including failure to timely empty bedside commodes, failure to follow seizure precaution care plans, improper call light assessments, medication errors exceeding 5%, unsecured controlled substance storage, poor dietary hand hygiene and food storage practices, and unsafe physical environment conditions such as damaged ceilings and furniture that could cause resident harm.
Deficiencies (7)
Failed to ensure bedside commode was emptied timely and seizure precautions with padded bedrails were followed.
Failed to complete comprehensive assessment for proper call light to accommodate physical limitations.
Medication error rate was not less than 5 percent during medication administration observation.
Facility failed to remain free from significant medication errors for one resident.
Controlled substances container was not permanently affixed in medication room.
Dietary staff failed to perform hand hygiene and food was improperly stored and labeled.
Ceiling in resident's room was damaged and hanging down; furniture in dayroom and patio was torn and cracked, posing risk of skin tears.
Report Facts
Residents observed for medication error: 5
Residents with medication errors: 3
Residents affected by dietary deficiencies: 33
Census: 36
Used gloves found in bedside commode: 3
Missed doses of Eliquis: 8
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. |
| Licensed Practical Nurse #6 | Licensed Practical Nurse | Interviewed regarding medication administration for Resident #10. |
| Director of Nursing | Director of Nursing | Confirmed medication orders and storage issues. |
| MDS Coordinator | MDS Coordinator | Interviewed regarding Resident #1's care plan and call light assessment. |
| Dietary Helper | Dietary Helper | Observed and interviewed regarding hand hygiene and food handling. |
| Administrator | Administrator | Interviewed regarding facility policies and environmental concerns. |
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, inadequate maintenance of heating and environmental conditions, unsafe electrical device usage, lack of a formal quality assurance program, improper infection control practices, malfunctioning call light systems, and unsanitary 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 out of the facility 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 and bathrooms.
Failure to ensure medical devices were plugged into properly grounded outlets and not power strips; failure to maintain environment free from hazards due to trip hazards from cables.
Failure to develop and implement a Quality Assurance Performance Improvement (QAPI) Plan with formal documentation and monitoring.
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 between residents and staff.
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 heating and environment issues: 15
Residents sampled for pressure relief air mattress electrical safety: 15
Residents affected by call light deficiency: 1
Resident bathrooms observed for hygiene item storage issues: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #1 | Acknowledged catheter bag is supposed to be in a privacy bag. | |
| Certified Nursing Assistant (CNA) #1 | Present at bedside when catheter bag was in privacy bag. | |
| Assistant Director of Nursing (ADON) | Provided facility policy on catheter care; indicated night staff wash and disinfect personal care equipment. | |
| Certified Nursing Assistant (CNA) #2 | Verified pressure relief air mattress and bed plugged into power strip; unaware of training on power strips. | |
| Licensed Practical Nurse (LPN) #2 | Stated no log for maintenance requests; unaware of QAPI goals. | |
| Licensed Practical Nurse (LPN) #3 | Stated maintenance calls are made to maintenance men who live nearby. | |
| Certified Nursing Assistant (CNA) #3 | Unaware of QAPI goals. | |
| Administrator | Provided documentation, acknowledged deficiencies, and confirmed observations. |
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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