Inspection Reports for
Crestpark Marianna, LLC
700 West Chestnut, Marianna, AR 72360, AR, 72360
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
12.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
144% worse than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
32
24
16
8
0
Inspection Report
Annual Inspection
Deficiencies: 0
Date: May 22, 2025
Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at Crestpark Marianna, L L C.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Deficiencies: 0
Date: May 22, 2025
Visit Reason
The document is a statement of deficiencies and plan of correction for Crestpark Marianna, LLC, related to a regulatory survey completed on May 22, 2025.
Findings
No health deficiencies were found during the survey.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Mar 19, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to timely report an allegation of abuse involving Resident #1 within the required 2-hour timeframe.
Complaint Details
The complaint investigation found that the facility did not report an allegation of abuse involving Resident #1 within the required 2-hour timeframe. The abuse involved skin tears and bruising, and staff interviews confirmed the delay. The allegation was eventually reported to the Office of Long-Term Care by 11:00 AM the next business day.
Findings
The facility failed to report an allegation of abuse within 2 hours for Resident #1, who had severe cognitive impairment and was observed with skin tears and a bruise. Interviews with staff and review of records confirmed the delay in reporting to the appropriate authorities.
Deficiencies (1)
Failure to timely report suspected abuse within 2 hours for Resident #1.
Report Facts
Residents reviewed for abuse: 3
Skin tears observed: 2
Assessment Reference Date: Feb 5, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #2 | Certified Nursing Assistant | Reported Resident #1 was hollering and combative during the night |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Observed bruising on Resident #1 and reported Resident #1's statement about abuse |
| Director of Nursing | Director of Nursing | Responsible for reporting abuse to Office of Long-Term Care and confirmed delay in reporting |
| Administrator | Administrator | Confirmed reporting procedures and details of Resident #1's injuries |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Mar 19, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to timely report an allegation of abuse involving Resident #1 within the required 2-hour timeframe.
Complaint Details
The complaint investigation found that the facility did not report an allegation of abuse involving Resident #1 within 2 hours as required. The allegation involved skin tears and a bruise, with Resident #1 stating that a Certified Nursing Assistant had hit them. The report was submitted the next day, exceeding the required reporting timeframe.
Findings
The facility failed to report an allegation of abuse within 2 hours for Resident #1, who had skin tears and a bruise. Interviews and record reviews confirmed the delay in reporting and documented the resident's injuries and behavioral issues.
Deficiencies (1)
Failure to timely report suspected abuse within 2 hours for Resident #1.
Report Facts
Residents reviewed for abuse: 3
Skin tears: 2
Assessment Reference Date: Feb 5, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA) #2 | Reported Resident #1 was combative and hollering | |
| Licensed Practical Nurse (LPN) #1 | Observed injury on Resident #1 and reported Resident #1's statement | |
| Director of Nursing (DON) | Responsible for reporting abuse and provided interview about reporting procedures | |
| Administrator | Provided interview about abuse reporting requirements and Resident #1's injuries |
Inspection Report
Routine
Deficiencies: 15
Date: Mar 15, 2024
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to resident dignity, privacy, safety, care planning, restraint use, personal hygiene, accident prevention, infection control, medication administration, staffing, food safety, and vaccination policies.
Findings
The facility was found deficient in multiple areas including failure to treat residents with dignity and respect, ensure privacy during care, maintain safe and homelike environment, prevent use of restraints, update individualized care plans, provide proper personal hygiene care, follow dietary and infection control protocols, maintain accurate medication and catheter care, post nurse staffing information, and implement vaccination policies. Several staff failed to follow proper procedures for hand hygiene, feeding, incontinent care, and medication administration.
Deficiencies (15)
Failure to honor resident's request not to be called by first name and improper feeding assistance posture.
Failure to ensure privacy during incontinent care with open doors and curtains.
Unsafe environment due to damaged door protectors and furniture.
Failure to ensure residents were free from physical restraints.
Incomplete and outdated care plans for residents including missing interventions and assessments.
Failure to provide adequate personal hygiene and grooming including fingernail care.
Failure to follow dietary orders including use of thickened liquids and clean kitchen equipment.
Failure to ensure appropriate diagnosis prior to indwelling urinary catheter insertion.
Failure to label, date, and time feeding tube bags.
Failure to properly sign narcotic book and lack of narcotic policy.
Failure to post nurse staffing information in a clear, accessible format including facility name, census, and hours worked.
Failure to discard expired food, maintain clean kitchen equipment, and follow hand hygiene during food preparation.
Failure to maintain infection control practices including hand hygiene, proper handling of feeding tubes, catheter care, medication administration, and feeding assistance.
Failure to have a policy for flu and pneumococcal vaccinations.
Failure to maintain a safe environment including unlocked bathroom without call light.
Report Facts
Deficiencies cited: 15
Resident BIMS scores: 0
Resident BIMS scores: 15
Dates of survey: Mar 15, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #7 | CNA | Named in dignity and respect deficiency for calling resident by first name against request |
| Certified Nursing Assistant #1 | CNA | Interviewed about resident name use and incontinent care privacy |
| Registered Nurse #2 | RN | Interviewed about feeding practices, name use, and infection control |
| Director of Nursing | DON | Interviewed about policies, care plans, staffing, and infection control |
| Licensed Practical Nurse #1 | LPN | Interviewed about restraints and bed rails |
| Certified Nursing Assistant #4 | CNA | Interviewed about feeding and restraint practices |
| Registered Nurse #3 | RN | Interviewed about dietary orders and feeding tube care |
| Dietary Employee #1 | DE | Observed not washing hands during food preparation |
| Administrator | Administrator | Interviewed about staffing posting and bathroom safety |
Inspection Report
Routine
Deficiencies: 15
Date: Mar 15, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident dignity, privacy, safety, care planning, infection control, and other aspects of nursing home care.
Findings
The facility was found deficient in multiple areas including failure to treat residents with dignity and respect, failure to maintain privacy during care, unsafe environment due to damaged equipment, improper use of restraints, incomplete care plans, inadequate personal hygiene care, failure to follow dietary and medication administration protocols, poor infection control practices, failure to post nurse staffing information properly, and lack of policies for immunizations.
Deficiencies (15)
Failure to honor residents' rights to dignity and respect during incontinent care and feeding.
Failure to ensure privacy during incontinent care with open doors and curtains.
Unsafe environment due to damaged door protectors and cracked geriatric chair armrests.
Failure to ensure residents were free from physical restraints.
Incomplete and outdated care plans for residents, including lack of mechanical lift intervention and smokeless tobacco care planning.
Failure to maintain clean and groomed fingernails for residents dependent on staff for care.
Failure to follow dietary orders including providing non-thickened liquids to residents with swallowing disorders and poor hand hygiene by dietary staff.
Failure to ensure appropriate diagnosis prior to indwelling urinary catheter insertion.
Failure to label, date, and time feeding tube feeding bags.
Failure to properly sign narcotic book at shift changes.
Failure to post nurse staffing information daily in a clear and accessible manner including facility name, census, and hours worked.
Failure to discard expired food, maintain clean kitchen equipment, and ensure hand hygiene during food preparation.
Failure to maintain infection control practices including hand hygiene during feeding and incontinent care, improper handling of contaminated items, and unsafe medication administration.
Lack of policy for flu and pneumococcal vaccinations.
Failure to ensure bathroom safety with unlocked doors and absence of call lights.
Report Facts
Medication administration record missing output: 12
Expired food items: 1
Narcotic book missing signatures: 2
Residents affected by deficiencies: 17
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #7 | Certified Nursing Assistant | Called resident by first name after request not to; placed feeding tube in brief during incontinent care |
| RN #2 | Registered Nurse | Observed feeding residents without hand hygiene; improper medication handling |
| DON | Director of Nursing | Confirmed multiple deficiencies and lack of policies |
| LPN #1 | Licensed Practical Nurse | Discussed bed rails and catheter diagnosis |
| CNA #5 | Certified Nursing Assistant | Emptied catheter into trash can; assisted with incontinent care without proper hand hygiene |
| DE #1 | Dietary Employee | Failed to wash hands during food preparation |
Inspection Report
Routine
Census: 45
Deficiencies: 3
Date: Jan 6, 2023
Visit Reason
The inspection was conducted to assess compliance with regulations regarding resident assessments, care planning, and provision of necessary services such as personal hygiene and restraint use.
Findings
The facility failed to comprehensively assess residents with restraints, update care plans following resident falls, and provide adequate personal hygiene services including nail care for multiple residents. Several residents had untrimmed nails despite preferences, and documentation of refusals was inconsistent. The facility lacked formal policies on comprehensive assessments and care plan revisions.
Deficiencies (3)
Failed to comprehensively assess 1 resident with a physician's order for restraint.
Failed to develop and revise care plans within 7 days of comprehensive assessment and after resident falls.
Failed to provide necessary personal hygiene services, including nail care, for three residents.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 3
Residents in facility: 45
Falls documented: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #2 | Registered Nurse | Discussed classification and care planning of restraint mitten for Resident #26 |
| Director of Nursing | Director of Nursing | Provided information on restraint use, care plan revision policies, and responsibility for nail care |
| MDS Coordinator | MDS Coordinator | Interviewed regarding restraint coding and assessment documentation |
Inspection Report
Routine
Census: 45
Deficiencies: 3
Date: Jan 6, 2023
Visit Reason
The inspection was conducted to assess compliance with regulations regarding comprehensive resident assessments, care plan development and revision, and provision of necessary personal care services including nail care.
Findings
The facility failed to comprehensively assess one resident with a restraint order, failed to review and revise care plans timely for residents with falls and restraints, and failed to provide adequate nail care for three residents, potentially affecting all 45 residents. Policies on comprehensive assessments, care plan revisions, and nail care were lacking.
Deficiencies (3)
Failed to comprehensively assess one resident with a physician's order for a restraint.
Failed to review and revise care plans and reassess effectiveness of interventions for residents with falls and restraints.
Failed to provide necessary nail care and personal hygiene assistance for three residents, potentially affecting all 45 residents.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 3
Total residents: 45
Falls documented: 2
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