Inspection Reports for
Crestpark Marianna, LLC

700 West Chestnut, Marianna, AR 72360, AR, 72360

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 6.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

21% worse than Arkansas average
Arkansas average: 5.2 deficiencies/year

Deficiencies per year

16 12 8 4 0
2023
2024
2025

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

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
NameTitleContext
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

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
NameTitleContext
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
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
NameTitleContext
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

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